Organization
CVS HOME HEALTH AGENCY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SANTHOSH V THOMAS (DIRECTOR / CFO)
(972) 224-6100
Entity
Organization
Contact information
Practice address
3939 US HIGHWAY 80 E STE 254, MESQUITE, TX 75150-3371
(972) 224-6100
(972) 224-6101
Mailing address
3939 US HIGHWAY 80 E STE 254, MESQUITE, TX 75150-3371
(972) 224-6100
(972) 224-6101
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
012255
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2082869
—
TX
Enumeration date
01/09/2014
Last updated
01/09/2014
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