Organization
ABILENE HOME HEALTH PROFESSIONAL CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GRETCEHN JOHANNA HERMAN (OWNER, CFO)
(325) 672-9454
Entity
Organization
Contact information
Practice address
265 S LEGGETT DR, SUITE 1, ABILENE, TX 79605-1690
(325) 672-9454
(325) 673-3851
Mailing address
265 S LEGGETT DR, SUITE 1, ABILENE, TX 79605-1690
(325) 672-9454
(325) 673-3851
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
001419
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5202400
AETNA HOME HEALTH
TX
01
—
555035
HMO BLUE HOME HEALTH
TX
01
—
HH9001
BCBS TX HOME HEALTH
TX
Enumeration date
08/31/2006
Last updated
08/22/2020
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