Organization
DOROTHY J. HARROD
Active
Other names
TLC Professional Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MISTY GAIL FULLER (ADMINISTRATOR)
(903) 465-7730
Entity
Organization
Contact information
Practice address
126 W MONTEREY ST, DENISON, TX 75021-6363
(903) 465-7730
(903) 465-4248
Mailing address
126 W MONTEREY ST, DENISON, TX 75021-6363
(903) 465-7730
(903) 465-4248
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
003104
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
187201202
—
TX
Enumeration date
07/24/2007
Last updated
06/01/2011
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