Organization
THUNDER HOME HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEVILLE TSHIAMALA (ADMINISTRATOR)
(469) 735-0194
Entity
Organization
Contact information
Practice address
13805 GREEN HOOK RD, ALEDO, TX 76008-1700
(469) 735-0194
(682) 200-2635
Mailing address
13805 GREEN HOOK RD, ALEDO, TX 76008-1700
(469) 735-0194
(682) 200-2635
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001026842
—
TX
Enumeration date
11/16/2014
Last updated
06/12/2024
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