Organization
THREE WISHES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRI SHELTON (PROGRAM DIRECTOR)
(972) 723-1701
Entity
Organization
Contact information
Practice address
1331 POLO RUN, MIDLOTHIAN, TX 76065-5972
(972) 723-1701
Mailing address
1331 POLO RUN, MIDLOTHIAN, TX 76065-5972
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
12/17/2008
Last updated
12/17/2008
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