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Organization
HODGES-TAYLOR HOME CARE INC.
Active
Organization
HODGES-TAYLOR HOME CARE INC.
Active
Other names
Family Care Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORI PETTIGREW R.N. (ADMINISTRATOR)
(254) 554-4049
Entity
Organization
Contact information
Practice address
581 PAN AMERICAN DRIVE, SUITE 2, HARKER HEIGHTS, TX 76548
(254) 554-4049
(254) 554-5067
Mailing address
581 PAN AMERICAN DRIVE, SUITE 2, HARKER HEIGHTS, TX 76548
(254) 554-4049
(254) 554-5067
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
003631
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0241143-02
—
TX
05
—
024114302
—
TX
01
—
0774
PHC VENDOR #
TX
01
—
8533
CBA VENDOR #
TX
Enumeration date
07/31/2006
Last updated
11/07/2016
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