# HOSPICE AT HOME HOLDINGS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** At Home Medical Supply
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457153116
- **Authorized official:** JEFFREY FORTNER (OWNER)
- **Authorized official phone:** (817) 791-0764

## Contact information

- **Practice address:** 3515 MCNIEL AVE, WICHITA FALLS, TX 76308-1504
- **Practice address phone:** (940) 247-4770
- **Mailing address:** 3515 MCNIEL AVE, WICHITA FALLS, TX 76308-1504
- **Mailing address phone:** (940) 247-4770

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 03/25/2025
- **Last updated:** 03/25/2025