Healthcare Provider Details

I. General information

NPI: 1164470894
Provider Name (Legal Business Name): PHYSICIAN'S LINK HOME CARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2006
Last Update Date: 01/31/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1350 HIGHWAY 327 E
SILSBEE TX
77656-6114
US

IV. Provider business mailing address

PO BOX 2025
SILSBEE TX
77656-2025
US

V. Phone/Fax

Practice location:
  • Phone: 409-385-7744
  • Fax: 409-385-7723
Mailing address:
  • Phone: 409-385-7744
  • Fax: 409-385-7723

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number009428
License Number StateTX

VIII. Authorized Official

Name: MRS. SOLICA GAIL SMITH
Title or Position: RN/ADMINISTRATOR
Credential: RN
Phone: 409-385-7744