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General NPI Number Information
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NPI Number | 1780073460
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Entity Type | Organization
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Legal Business Name | 1ST CHOICE TEXAS HOME HEALTHCARE LLC
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Dates
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Enumeration Date | 01/18/2015
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Last Update Date | 03/11/2015
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Provider Practice Location Address
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Address Line | 141 E RENFRO ST SUITE 107
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City | BURLESON
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State | TX
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Zip | 76028-4279
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Country | US
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Telephone | 817-471-3117
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Fax | 888-443-4937
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Provider Business Mailing Address
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Address Line | 4720 RUSH RIVER TRL
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City | FORT WORTH
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State | TX
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Zip | 76123-2751
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Country | US
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Telephone | 682-234-8147
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Fax | 888-443-4937
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MALYNETTE DINO
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Credential | RN, BSN
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Telephone | 682-234-8147
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number |
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License Number State |
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Taxonomy #2
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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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