# PINK SCRUBS HOME HEALTH AGENCY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093315913
- **Authorized official:** KARLETHIA L. TYSON (OWNER)
- **Authorized official phone:** (734) 968-8602

## Contact information

- **Practice address:** 10815 BAUCUM RD, WAXAHACHIE, TX 75167-7614
- **Practice address phone:** (734) 968-8602
- **Mailing address:** 10815 BAUCUM RD, WAXAHACHIE, TX 75167-7614
- **Mailing address phone:** (734) 968-8602

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 10/29/2020
- **Last updated:** 10/29/2020