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General NPI Number Information
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NPI Number | 1447259114
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Entity Type | Organization
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Legal Business Name | FALLS HOME HEALTH SERVICES INC
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Dates
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Enumeration Date | 07/15/2005
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Last Update Date | 10/01/2024
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Provider Practice Location Address
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Address Line | 4090 REGENT DR
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City | WICHITA FALLS
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State | TX
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Zip | 76308-1508
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Country | US
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Telephone | 940-766-1990
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Fax | 940-766-0064
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Provider Business Mailing Address
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Address Line | 4090 REGENT DR
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City | WICHITA FALLS
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State | TX
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Zip | 76308-1508
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Country | US
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Telephone | 940-766-1990
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Fax | 940-766-0064
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | SUSAN DIANE TERRY
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Credential |
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Telephone | 940-766-1990
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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 | 014102
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License Number State | TX
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