Organization
DFW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIANA WOOLVERTON D.O.C. (CEO)
(972) 877-7767
Entity
Organization
Contact information
Practice address
2447 E STONE RD, WYLIE, TX 75098-5709
(972) 877-7767
(972) 767-0939
Mailing address
9710 COUNTY ROAD 2426, TERRELL, TX 75160-8825
(972) 877-7767
(972) 767-0939
Taxonomy
Speciality
Code
Description
License number
State
2278H0200X
Home Health Certified Respiratory Therapist
—
TX
2278P3800X
Palliative/Hospice Certified Respiratory Therapist
—
TX
2279S1500X
SNF/Subacute Care Registered Respiratory Therapist
—
TX
251E00000X
Home Health Agency
—
TX
251G00000X
Community Based Hospice Care Agency
—
TX
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
—
TX
261QR1100X
Research Clinic/Center
—
TX
261QR1300X
Rural Health Clinic/Center
—
TX
310400000X
Assisted Living Facility
Primary
—
TX
314000000X
Skilled Nursing Facility
—
TX
315D00000X
Inpatient Hospice
—
TX
Other
Enumeration date
07/11/2011
Last updated
07/11/2011
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