Individual
CANDELLA L FARMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HHM
Contact information
Practice address
235 PRIVATE ROAD 3490, BIG SANDY, TX 75755-5906
(903) 617-0712
Mailing address
235 PRIVATE ROAD 3490, BIG SANDY, TX 75755-5906
(903) 617-0712
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
872811470
TX
305S00000X
Point of Service
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3975527579
—
TX
Enumeration date
10/21/2021
Last updated
10/21/2021
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