Organization
CENTRAL TEXAS HOMECARE, LLC
Active
Other names
Interim Healthcare of Dallas
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLY LYNN MARKER RN (PRESIDENT/CEO)
(806) 771-0995
Entity
Organization
Contact information
Practice address
2306 N TRAVIS ST, SHERMAN, TX 75092-2517
(903) 357-5704
(903) 357-5725
Mailing address
3223 S LOOP 289 STE 210, LUBBOCK, TX 79423-1352
(806) 771-0995
(806) 687-5966
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016225
STATE OPERATOR'S LICENSE #
TX
01
—
45D2098156
CLIA
—
Enumeration date
02/04/2021
Last updated
08/05/2024
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