Healthcare Provider Details

I. General information

NPI: 1184618498
Provider Name (Legal Business Name): TRI-COUNTY HOME HEALTH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2005
Last Update Date: 10/15/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

809 HIGHWAY 327 E
SILSBEE TX
77656-0375
US

IV. Provider business mailing address

809 HIGHWAY 327 E POBOX 375
SILSBEE TX
77656-5023
US

V. Phone/Fax

Practice location:
  • Phone: 409-385-6032
  • Fax: 409-385-6267
Mailing address:
  • Phone: 409-385-6032
  • Fax: 409-385-6267

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number001361
License Number StateTX

VIII. Authorized Official

Name: MRS. TERESA SCOTT CUNNINGHAM
Title or Position: ADMINISTRATOR
Credential: R.N.
Phone: 409-385-6032