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Organization
HOSPICE AT HOME HOLDINGS LLC
Active
Organization
HOSPICE AT HOME HOLDINGS LLC
Active
Other names
At Home Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY FORTNER (OWNER)
(817) 791-0764
Entity
Organization
Contact information
Practice address
3515 MCNIEL AVE, WICHITA FALLS, TX 76308-1504
(940) 247-4770
Mailing address
3515 MCNIEL AVE, WICHITA FALLS, TX 76308-1504
(940) 247-4770
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
03/25/2025
Last updated
03/25/2025
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