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Organization

AVISTAR HOME HEALTH AGENCY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROSE EFESOA (ADMINISTRATOR ASSISTANT)
(214) 430-0996
Entity
Organization

Contact information

Practice address
2201 SPINKS RD STE 133, FLOWER MOUND, TX 75022-4451
(214) 430-0996
(833) 414-0604
Mailing address
1517 CAYMUS CT, LEWISVILLE, TX 75067-3254
(214) 430-0996
(833) 414-0604

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
253Z00000X
In Home Supportive Care Agency
3747A0650X
Attendant Care Provider
3747P1801X
Personal Care Attendant

Other

Enumeration date
08/16/2021
Last updated
03/03/2026
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