Organization
BIENVILLE HOLDINGS, LTD
Active
Other names
At Home Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE MARTIN (LICENSING MANAGER)
(903) 787-7609
Entity
Organization
Contact information
Practice address
9846 STATE HIGHWAY 31 E, TYLER, TX 75705-2329
(903) 593-9945
(903) 525-3861
Mailing address
9846 STATE HIGHWAY 31 E, TYLER, TX 75705-2329
(903) 592-8001
(903) 581-6918
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
007113
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001001161
—
TX
Enumeration date
05/07/2007
Last updated
03/24/2023
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