Organization
FIRST IN PEDIATRICS HOME HEALTH CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON BONNER (ADMINISTRATOR)
(903) 665-6131
Entity
Organization
Contact information
Practice address
120 N WALNUT ST, JEFFERSON, TX 75657-1934
(903) 665-6131
(903) 665-7244
Mailing address
120 N WALNUT ST, JEFFERSON, TX 75657-1934
(903) 665-6131
(903) 665-7244
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
008366
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HH8618
BCBS PROVIDER NUMBER
TX
Enumeration date
05/23/2006
Last updated
01/08/2008
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