Organization
ANDOVER HOME HEALTH CARE,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS BWISA (OWNER)
(817) 851-4172
Entity
Organization
Contact information
Practice address
2012 PIEDMONT DR, LEWISVILLE, TX 75067-7898
(817) 851-4172
Mailing address
2012 PIEDMONT DR, LEWISVILLE, TX 75067-7898
(817) 851-4172
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
03/11/2018
Last updated
04/22/2019
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