MEDICARE: HYGIEIA RCH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1114285111
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HYGIEIA RCH

Provider Business Mailing Address
First Line	:	3814 TIMBERLAKE DR
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75023-7727
Country	:	US
Telephone Number	:	972-881-4374
Fax Number	:	972-516-4952

Provider Business Practice Location Address
First Line	:	3814 TIMBERLAKE DR
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75023-7727
Country	:	US
Telephone Number	:	972-881-4374
Fax Number	:	972-516-4952

Authorized Official
Title or Position	:	ACCOUNT MANAGER
Name	:	MUNZER HAQUE
Credential	:
Telephone Number	:	972-971-5593

Provider Enumeration Date	:	04/26/2012
Last Update Date	:	02/13/2013

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Directions to “HYGIEIA RCH ” Practice Location

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