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Organization
TEXAS CARE ONE HOME HEALTH AGENCY
Active
Organization
TEXAS CARE ONE HOME HEALTH AGENCY
Active
Parent organization
TEXAS CARE ONE HOME HEALTH AGENCY
Organization subpart
Yes
Provider details
NPI number
Legal business name
TEXAS CARE ONE HOME HEALTH AGENCY
Authorized official
MR. RAYMOND MAZIVEYI (ADMINISTRATOR)
(214) 377-9945
Entity
Organization
Contact information
Practice address
913 E BERRY ST, SUITE 109, FORT WORTH, TX 76110-4452
(214) 337-9945
(682) 223-9349
Mailing address
913 E BERRY ST, SUITE 109, FORT WORTH, TX 76110-4452
(214) 377-9945
(682) 223-9349
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
017169
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
359724701
—
TX
Enumeration date
03/01/2016
Last updated
01/31/2017
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