Organization
EAMASS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH SUTHERLAND (MANAGING MEMBER)
(888) 683-2592
Entity
Organization
Contact information
Practice address
301 CLEAR FORK LOOP, LIBERTY HILL, TX 78642-2133
(817) 803-6729
Mailing address
301 CLEAR FORK LOOP, LIBERTY HILL, TX 78642-2133
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
344600000X
Taxi
—
—
347B00000X
Bus
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
Update your record
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