Organization
FIDELIS HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY LEWIS HATTEN (PRESIDENT)
(817) 798-0436
Entity
Organization
Contact information
Practice address
221 MASTERS LN, MIDLOTHIAN, TX 76065-7209
(972) 775-6800
Mailing address
221 MASTERS LN, MIDLOTHIAN, TX 76065-7209
(972) 775-6800
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
06/10/2010
Last updated
06/10/2010
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