Organization
BEYONDFAITH HOMECARE & REHAB LLC
Active
Other names
BEYONDFAITH HOMECARE & REHAB OF WICHITA FALLS
Organization subpart
No
Provider details
NPI number
Authorized official
TRENTON EMORY (GENERAL COUNSEL)
(210) 829-7722
Entity
Organization
Contact information
Practice address
6410 98TH STREET, STE 200, LUBBOCK, TX 79424
(806) 798-5683
(806) 798-2443
Mailing address
5601 EXECUTIVE DR STE 250, IRVING, TX 75038-2508
(972) 677-3499
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
162453801
—
TX
05
—
162453802
—
TX
05
—
162453803
—
TX
01
—
45D1017319
CLIA
—
Enumeration date
07/05/2005
Last updated
06/19/2024
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