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Mrs. Nathalia White Shanetta White, HEALTHCAREPROVIDER
PACE Provider Organization in League City, Texas
NPI 1700373966

Nathalia White Shanetta White is a PACE Provider Organization based in League City, TX. Nathalia White Shanetta White practices in League City, TX and has the professional credentials of HEALTHCAREPROVIDER. The NPI Number for Nathalia White Shanetta White is 1700373966 and holds a License No. (Texas).

The current practice location address for Nathalia White Shanetta White is 240 W Galveston St Unit 417, League City, TX and can be reached out via phone at 281-787-2881.

Location: 240 W Galveston St Unit 417, League City, TX, 77574-0849
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700373966
Provider Name
Nathalia White Shanetta White
Credential
HEALTHCAREPROVIDER
Provider Entity Type
Individual
Gender
Female
Address
240 W Galveston St Unit 417, League City, TX, 77574-0849
Phone Number
281-787-2881
Fax Number
Provider Enumeration Date
04/13/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
82-5132507 05 TX
825132507 05 TX
institution
Provider Business Practice Location Address Details
Address
240 W Galveston St Unit 417
City
League City
State
Texas
Zip
77574-0849
Phone Number
281-787-2881
Fax Number
person
Provider Business Mailing Address Details
Address
240 W Galveston St Unit 417
City
League City
State
Texas
Zip
77574-0849
Phone Number
281-787-2881
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
Speciality
-
Taxonomy
251T00000X
License No.
(Texas)
Definition
A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights.
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