# HEATON HEALTH SERVICES AGENCY LLC

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

## Provider details

- **NPI number:** 1285174292
- **Authorized official:** CLAY HEATON (OWNER/PRESIDENT)
- **Authorized official phone:** (903) 239-1430

## Contact information

- **Practice address:** 1820 SHILOH RD STE 1503, TYLER, TX 75703-2459
- **Practice address phone:** (903) 630-5493
- **Practice address fax:** (903) 965-6384
- **Mailing address:** 1820 SHILOH RD STE 1503, TYLER, TX 75703-2459
- **Mailing address phone:** (903) 630-5493
- **Mailing address fax:** (903) 965-6384

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 02/24/2017
- **Last updated:** 01/30/2020