Organization
HOSPICE AT HOME HOLDINGS LLC
Active
Other names
At Home Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY FORTNER (OWNER)
(817) 791-0764
Entity
Organization
Contact information
Practice address
3515 MCNIEL AVE, WICHITA FALLS, TX 76308-1504
(940) 247-4770
Mailing address
3515 MCNIEL AVE, WICHITA FALLS, TX 76308-1504
(940) 247-4770
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/25/2025
Last updated
03/25/2025
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