Organization
AMETHYST HOME HEALTH CARE AGENCY, LLC
Active
Other names
Amethyst Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDUARDO ANTONIO ATILLO (GENERAL MANAGER)
(214) 547-9368
Entity
Organization
Contact information
Practice address
2800 W PARKER RD STE 111, PLANO, TX 75075-9164
(972) 612-8889
(972) 612-8288
Mailing address
2800 W PARKER RD STE 111, PLANO, TX 75075-9164
(972) 612-8889
(972) 612-8288
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011888
DEPARTMENT OF AGING AND DISABILITY SERVICES
TX
Enumeration date
11/06/2007
Last updated
12/02/2011
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