Organization
BOWIE COUNTY HOME HEALTH, LLC
Active
Other names
TheraCare Home Health of East Texas
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHANE PHILLIP SATTERFIELD RN (ADMINISTRATOR)
(903) 832-4663
Entity
Organization
Contact information
Practice address
3501 STONELEDGE DR, TEXARKANA, TX 75503
(903) 832-4663
(903) 794-4663
Mailing address
3501 STONELEDGE DRIVE, TEXARKANA, TX 75503
(903) 832-4663
(903) 794-4663
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
009529
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009529
TEXAS LICENSE
TX
Enumeration date
08/30/2006
Last updated
12/08/2011
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