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Organization
MCLEAN HOME HEALTH AGENCY, INC.
Active
Organization
MCLEAN HOME HEALTH AGENCY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAN R FISH (CEO/ADMINISTRATOR)
(806) 779-2485
Entity
Organization
Contact information
Practice address
603 N. GROVE ST., MCLEAN, TX 79057-0047
(806) 779-2485
(806) 779-2690
Mailing address
PO BOX 47, MCLEAN, TX 79057-0047
(806) 779-2485
(806) 779-2690
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
002414
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0130387
—
TX
05
—
0247140
—
TX
01
—
45D0887380
CLIA CERT OF WAIVER
TX
Enumeration date
07/20/2006
Last updated
10/21/2008
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