Organization
2 HARVEST, INC.
Active
Other names
Eleos Community Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STACI ALICIA SCHMIDT L.P.T (ADMINISTRATOR/VP)
(940) 323-8840
Entity
Organization
Contact information
Practice address
406 S CARROLL BLVD, DENTON, TX 76201-5929
(940) 323-8840
(940) 387-6416
Mailing address
406 S CARROLL BLVD, DENTON, TX 76201-5929
(940) 323-8840
(940) 387-6416
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
011561
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011561
TEXAS DADS
TX
Enumeration date
09/18/2007
Last updated
05/11/2012
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