MEDICARE: ADORABLE HEALTH CARE SERVICES

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	251G00000X	Community Based Hospice Care Agency
2	251G00000X	Community Based Hospice Care Agency		TX

General Provider Information

NPI Number	:	1639341209
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADORABLE HEALTH CARE SERVICES

Provider Business Mailing Address
First Line	:	1710 MISTY FAWN LN
Second Line	:
City	:	FRESNO
State	:	TX
Zip	:	77545-9503
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1710 MISTY FAWN LN
Second Line	:
City	:	FRESNO
State	:	TX
Zip	:	77545-9503
Country	:	US
Telephone Number	:	832-443-9734
Fax Number	:

Authorized Official
Title or Position	:	PROGRAM DIRECTOR
Name	:	ADORA EMMANUEL
Credential	:
Telephone Number	:	832-443-9734

Provider Enumeration Date	:	03/24/2008
Last Update Date	:	03/24/2008

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Directions to “ADORABLE HEALTH CARE SERVICES ” Practice Location

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