Organization
316 PEDIATRIC HOME HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE MAXFIELD (PRESIDENT)
(817) 366-3793
Entity
Organization
Contact information
Practice address
208 N MAIN ST STE 130, WEATHERFORD, TX 76086-3267
(817) 761-7337
Mailing address
208 N MAIN ST STE 130, WEATHERFORD, TX 76086-3267
(817) 761-7337
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
05/27/2020
Last updated
01/20/2021
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