Organization
CATERPILLAR HOME HEALTH FOR KIDS LLC
Active
Other names
CATERPILLAR HOME HEALTH FOR KIDS
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KRYSTAL OUTLAW R.N. (ADMINISTRATOR)
(972) 863-2296
Entity
Organization
Contact information
Practice address
5902 PRESTON OAKS RD APT 2047, DALLAS, TX 75254-8769
(972) 863-2296
Mailing address
5902 PRESTON OAKS RD APT 2047, DALLAS, TX 75254-8769
(972) 863-2296
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017361
LICENSE
TX
Enumeration date
02/11/2016
Last updated
06/09/2016
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