# TIBBS HOME HEALTH CARE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Nurse Next Door DeSoto
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376359398
- **Authorized official:** LISA BENTLEY TIBBS RN (ADMINISTRATOR)
- **Authorized official phone:** (469) 831-7739

## Contact information

- **Practice address:** 617 BUCKBOARD ST, OVILLA, TX 75154-1601
- **Practice address phone:** (469) 831-7739
- **Mailing address:** 617 BUCKBOARD ST, OVILLA, TX 75154-1601
- **Mailing address phone:** (469) 831-7739

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WA2000X | Administrator Registered Nurse | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 12/04/2024
- **Last updated:** 12/04/2024