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Organization
WICHITA FALLS TEXAS PRIVATE DUTY CORPORATION
Active
Organization
WICHITA FALLS TEXAS PRIVATE DUTY CORPORATION
Active
Other names
CarePartners
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE HOLTSFORD (DIRECTOR BUSINESS OFFICE SUPPORT AU)
(615) 465-7466
Entity
Organization
Contact information
Practice address
4309 JACKSBORO HIGHWAY, SUITE G, WICHITA FALLS, TX 76302-2746
(940) 322-1677
(940) 322-8914
Mailing address
4309 JACKSBORO HIGHWAY, SUITE G, WICHITA FALLS, TX 76302-2746
(940) 322-1677
(940) 322-8914
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
011061
TX
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011061
STATE LICENSE
TX
05
—
1001552
—
TX
05
—
1001555
—
TX
05
—
1002234
—
TX
05
—
1769135-01
—
TX
Enumeration date
10/03/2006
Last updated
10/21/2011
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