Organization
GLENNWOOD ENTERPRISES, INC
Active
Other names
Heritage HomeCare
Organization subpart
No
Provider details
NPI number
Authorized official
STARLA ANN TIMBERLAKE (ASSISTANT ADMINISTRATOR)
(972) 283-8124
Entity
Organization
Contact information
Practice address
402 W WHEATLAND RD, SUITE 170, DUNCANVILLE, TX 75116-4600
(972) 283-8124
Mailing address
402 W WHEATLAND RD, SUITE 170, DUNCANVILLE, TX 75116-4600
(972) 283-8124
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
004870
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024180401
—
TX
Enumeration date
11/08/2006
Last updated
06/18/2008
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