Organization
HEATON HEALTH SERVICES AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLAY HEATON (OWNER/PRESIDENT)
(903) 239-1430
Entity
Organization
Contact information
Practice address
1820 SHILOH RD STE 1503, TYLER, TX 75703-2459
(903) 630-5493
(903) 965-6384
Mailing address
1820 SHILOH RD STE 1503, TYLER, TX 75703-2459
(903) 630-5493
(903) 965-6384
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
02/24/2017
Last updated
01/30/2020
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