Organization
MEDREC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VICKIE LYNN SMITH (CERTIFIED OCCUPATIONAL THERAPY ASST)
(903) 390-1991
Entity
Organization
Contact information
Practice address
574 TALLY HO, FAIRFIELD, TX 75480
(903) 390-1991
Mailing address
574 TALLY HO, FAIRFIELD, TX 75480
(903) 390-1991
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
207564
TX
Other
Enumeration date
05/04/2007
Last updated
08/22/2020
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