Organization
ATHC PROVIDER SERVICES, INC.
Active
Other names
N/A
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA ANN WELLS (ADMINISTRATOR)
(956) 425-2220
Entity
Organization
Contact information
Practice address
302 E TYLER AVE, SUITE 2, HARLINGEN, TX 78550-9120
(956) 425-2220
(956) 425-2218
Mailing address
302 E TYLER AVE, SUITE 2, HARLINGEN, TX 78550-9120
(956) 425-2220
(956) 425-2218
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
—
3747P1801X
Personal Care Attendant
Primary
007137
TX
385H00000X
Respite Care
007137
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001000918
VENDOR NUMBER
TX
01
—
007137
LICENSE NUMBER
TX
05
—
633680038
—
TX
Enumeration date
06/21/2006
Last updated
01/14/2020
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