Organization
PROVIDENCE HOME HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMIE HUNTER SULLIVAN (OWNER)
(903) 951-0713
Entity
Organization
Contact information
Practice address
1610 POSEY LN STE 200, SULPHUR SPRINGS, TX 75482-4955
(903) 951-4080
Mailing address
65 COUNTY ROAD 4782, SULPHUR SPRINGS, TX 75482-0318
(903) 951-0713
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/14/2020
Last updated
12/09/2020
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