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Organization
TRI STAR HOME CARE INC
Active
Organization
TRI STAR HOME CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN WYLIE (ADMINISTRATOR)
(254) 442-4996
Entity
Organization
Contact information
Practice address
1106 W 6TH ST, CISCO, TX 76437
(254) 442-4996
(254) 442-2002
Mailing address
1106 W 6TH ST, CISCO, TX 76437
(254) 442-4996
(254) 442-2002
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
006403
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
K06781400
—
TX
Enumeration date
11/03/2006
Last updated
12/26/2007
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