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Organization
THERACARE HOME HEALTH OF NORTH TEXAS, LLC
Active
Organization
THERACARE HOME HEALTH OF NORTH TEXAS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBBIE DALE NEVILLE (OWNER)
(214) 908-6353
Entity
Organization
Contact information
Practice address
697 S STEMMONS FWY, LEWISVILLE, TX 75067-4567
(972) 434-9400
(972) 434-9450
Mailing address
697 S STEMMONS FWY, LEWISVILLE, TX 75067-4567
(972) 434-9400
(972) 434-9450
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
013764
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
67-7248
HOME HEALTH PTAN
—
Enumeration date
10/22/2012
Last updated
10/22/2012
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