Healthcare Provider Details
I. General information
NPI: 1922321462
Provider Name (Legal Business Name): NOWLING HOME HEALTHCARE INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/11/2010
Last Update Date: 03/11/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7901 CAMERON BUILDING 3 SUITE 135
AUSTIN TX
78754
US
IV. Provider business mailing address
7901 CAMERON #3 SUITE 135
AUSTIN TX
78754
US
V. Phone/Fax
- Phone: 512-551-0720
- Fax:
- Phone: 512-551-0720
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251G00000X |
| Taxonomy | Community Based Hospice Care Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
VALENCIA
KARRRI
KEY
Title or Position: OWNER/ASISTANT ADMINISTRATOR
Credential:
Phone: 512-551-0720