Organization
SWAHC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS PRICE (OWNER)
(903) 714-2872
Entity
Organization
Contact information
Practice address
210 N STATE LINE AVE STE 203, TEXARKANA, AR 71854-5947
(903) 705-4776
(903) 705-7199
Mailing address
9155 ELM TREE CIR, TYLER, TX 75703-7621
(903) 714-2872
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
06/06/2024
Last updated
06/06/2024
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