Organization
CHRISTY HAFFORD
Active
Other names
Community Connection Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTY HAFFORD (ADMINISTRATOR)
(972) 262-4362
Entity
Organization
Contact information
Practice address
2321 S BELT LINE RD, STE 160, GRAND PRAIRIE, TX 75051-4181
(972) 262-4362
(972) 262-9853
Mailing address
2321 S BELT LINE RD, STE 160, GRAND PRAIRIE, TX 75051-4181
(972) 262-4362
(972) 262-9853
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
007983
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001012443
—
TX
05
—
001012444
—
TX
05
—
001015666
—
TX
05
—
181065701
—
TX
Enumeration date
12/04/2006
Last updated
04/13/2010
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