Organization
BLUEBONNET HOME HEALTH CARE OF TEXAS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE PETERSON (DIRECTOR OF OPERATIONS)
(512) 303-3912
Entity
Organization
Contact information
Practice address
125 HARMON RD, BASTROP, TX 78602-5698
(512) 303-3912
Mailing address
125 HARMON RD, BASTROP, TX 78602-5698
(512) 303-3912
(512) 303-0323
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000077300
PHC
TX
01
—
000643900
CBA
TX
01
—
001002345
MDCP
TX
01
—
019184
HHSC
TX
Enumeration date
07/16/2006
Last updated
08/05/2020
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