NPI Provider: 1790781854
Contact Name: Boston Eva
Position: Enrollment Specialist
Phone: (615) 465-7488
Wichita Falls Texas Home Care Information:
Wichita Falls Texas Home Care organization have npi 1790781854, taxonomy code is 251E00000X with license number is 2190 in . This Business address located in 1106 Travis St, Wichita Falls, TX 76301 Texas.
Practice Location
Address: 1106 Travis St, Wichita Falls, TX 76301
Phone: (940) 322-1672
Business Location
Address: 1106 Travis St, Wichita Falls, TX 76301
Phone: (940) 322-1672
Fax: (940) 322-1019
Taxonomy
Taxonomy Code: 251E00000X
License Number: 2190
License Number of State: TX
Primary Taxonomy Switch: Y
Enumeration Date: 6/23/2005
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