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General NPI Number Information
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NPI Number | 1922173384
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Entity Type | Organization
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Legal Business Name | BAILER HOME CARE
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Dates
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Enumeration Date | 11/21/2006
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Last Update Date | 01/11/2008
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Provider Practice Location Address
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Address Line | 400 E CENTRE PARK BLVD SUITE 106
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City | DESOTO
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State | TX
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Zip | 75115-8802
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Country | US
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Telephone | 214-376-7006
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Fax | 214-376-1844
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Provider Business Mailing Address
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Address Line | 400 E CENTRE PARK BLVD SUITE 106
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City | DESOTO
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State | TX
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Zip | 75115-8802
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Country | US
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Telephone | 214-376-7006
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Fax | 214-376-1844
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Authorized Official
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Title or Position | RN,OWNER
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Name | MR. EUGENE FISHER
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Credential | RN
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Telephone | 214-376-7006
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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 | 008496
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License Number State | TX
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