Organization
EAST TEXAS HOME HEALTH, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTA A FOXWORTH LVN (ADMINISTRATOR)
(936) 969-2103
Entity
Organization
Contact information
Practice address
14046 MAIN ST, CHESTER, TX 75936-2518
(936) 969-2103
(936) 969-2101
Mailing address
14046 MAIN ST, CHESTER, TX 75936-2518
(936) 969-2103
(936) 969-2101
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
004081
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0249872-01
—
TX
Enumeration date
05/02/2006
Last updated
04/19/2023
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