Organization
34HHA, INC
Active
Other names
HomeHealth Care of North Central Texas, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY K CANTRELL RN (ADMINISTRATOR)
(940) 683-3300
Entity
Organization
Contact information
Practice address
401 CENTER CT., BRIDGEPORT, TX 76426
(940) 683-3300
(940) 683-3302
Mailing address
P.O. BOX 1298, BRIDGEPORT, TX 76426
(940) 683-3300
(940) 683-3302
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
011650
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2817140-01
—
TX
Enumeration date
11/16/2006
Last updated
10/16/2015
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