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Organization
ETHAN PROJECT HEALTHCARE LLC
Active
Organization
ETHAN PROJECT HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDSAY BOYKIN BSN, RN (OWNER/VP)
(806) 433-5480
Entity
Organization
Contact information
Practice address
100 CROCKETT ST, AMARILLO, TX 79106-8346
(806) 433-5480
Mailing address
4042 RICARDO DR, AMARILLO, TX 79109-5036
(806) 433-5480
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
NULL
163W00000X
Registered Nurse
—
—
164X00000X
Licensed Vocational Nurse
—
NULL
164X00000X
Licensed Vocational Nurse
—
—
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
235Z00000X
Speech-Language Pathologist
—
NULL
235Z00000X
Speech-Language Pathologist
—
—
251E00000X
Home Health Agency
Primary
—
NULL
251J00000X
Nursing Care Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
3747P1801X
Personal Care Attendant
—
NULL
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
09/22/2022
Last updated
03/23/2023
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