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General NPI Number Information
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NPI Number | 1144602814
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Entity Type | Organization
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Legal Business Name | NOURISH HOMEHEALTH AND THERAPY SERVICES LLC
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Dates
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Enumeration Date | 06/18/2015
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Last Update Date | 06/18/2015
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Provider Practice Location Address
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Address Line | 1608 STRATFORD PL
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City | MCKINNEY
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State | TX
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Zip | 75071-7483
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Country | US
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Telephone | 469-714-0123
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Fax | 214-548-5530
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Provider Business Mailing Address
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Address Line | 1608 STRATFORD PL
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City | MCKINNEY
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State | TX
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Zip | 75071-7483
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR/OWNER
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Name | MARIA CECILIA LIMSON MITCHELL
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Credential |
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Telephone | 806-438-8865
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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 |
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