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General NPI Number Information
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NPI Number | 1063698702
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Entity Type | Organization
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Legal Business Name | COMPASSIONATE FRIEND HOME HEALTHCARE, LLC
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Dates
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Enumeration Date | 01/11/2008
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1113 SOUTHLAKE DR
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City | DESOTO
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State | TX
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Zip | 75115-1528
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Country | US
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Telephone | 214-938-5718
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 172548
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City | ARLINGTON
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State | TX
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Zip | 76003-2548
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Country | US
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Telephone | 214-938-5718
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Fax | 817-704-3298
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Authorized Official
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Title or Position | SHAREHOLDER
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Name | MR. MICHAEL MORAN
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Credential |
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Telephone | 214-938-5718
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State | TX
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