Organization
COUNTRY HOME CARE, INC.
Active
Other names
COUNTRY HOME CARE
Organization subpart
No
Provider details
NPI number
Authorized official
TONYA BETH PENDLETON RN (ADMINISTRATOR)
(903) 427-8366
Entity
Organization
Contact information
Practice address
1505 W MAIN ST, CLARKSVILLE, TX 75426-3419
(903) 427-8366
(903) 427-8369
Mailing address
1505 W MAIN ST, CLARKSVILLE, TX 75426-3419
(903) 427-8366
(903) 427-8369
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
010155
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
181369301
—
TX
Enumeration date
12/08/2006
Last updated
10/04/2022
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