Provider Demographics
NPI:1841215662
Name:AMERICAN PILGRIMS COMMUNITY CARE
Entity Type:Organization
Organization Name:AMERICAN PILGRIMS COMMUNITY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:PEGGY
Authorized Official - Middle Name:
Authorized Official - Last Name:CHANDLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-355-9200
Mailing Address - Street 1:400 S INDUSTRIAL BLVD
Mailing Address - Street 2:SUIT 213
Mailing Address - City:EULESS
Mailing Address - State:TX
Mailing Address - Zip Code:76040-4246
Mailing Address - Country:US
Mailing Address - Phone:817-355-9200
Mailing Address - Fax:
Practice Address - Street 1:400 S INDUSTRIAL BLVD
Practice Address - Street 2:SUIT 213
Practice Address - City:EULESS
Practice Address - State:TX
Practice Address - Zip Code:76040-4246
Practice Address - Country:US
Practice Address - Phone:817-355-9200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-13
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management