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Organization
HOME CARE DIRECT INCORPORATED
Active
Organization
HOME CARE DIRECT INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. REX R WISNER (ADMINISTRATOR)
(254) 968-8652
Entity
Organization
Contact information
Practice address
160 RIVER NORTH BLVD, STEPHENVILLE, TX 76401-1803
(254) 968-8652
(254) 968-8194
Mailing address
PO BOX 560, STEPHENVILLE, TX 76401-0006
(254) 968-8652
(254) 968-8194
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
007374
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
025215701
—
TX
Enumeration date
07/07/2006
Last updated
11/02/2011
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