Organization
GILEAD COMMUNITY HOME HEALTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT KORTE (PRESIDENT/CEO)
(913) 579-8741
Entity
Organization
Contact information
Practice address
2104 ROOSEVELT DR, SUITE M, DALWORTHINGTON GARDENS, TX 76013-5937
(817) 801-7100
(817) 801-7101
Mailing address
2104 ROOSEVELT DR STE M, DALWORTHINGTON GARDENS, TX 76013-5900
(817) 801-7100
(817) 801-7101
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010817
TEXAS HHSC
TX
Enumeration date
04/12/2018
Last updated
03/22/2023
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