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Organization

EAST TEXAS MEDICAL CENTER HOME SERVICES

Active
Other names
ETMC Home Health - South
Organization subpart
No

Provider details

NPI number
Authorized official
MS. TRACI K. ANDERSON (AREA DIRECTOR OF OPERATIONS)
(903) 535-6056
Entity
Organization

Contact information

Practice address
734 W COMMERCE ST, SUITE B, FAIRFIELD, TX 75840-1406
(903) 389-3468
(903) 389-3541
Mailing address
734 W COMMERCE ST, FAIRFIELD, TX 75840-1405
(903) 389-3468
(903) 389-3541

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
007375
TX

Other

Enumeration date
07/21/2005
Last updated
08/22/2020
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