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NPI Code Detail

MEDICARE: STOREY HOLDINGS INC

MEDICARE: STOREY HOLDINGS INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1073023578
Entity Type Code : Organization
Provider Name (Legal Business Name) : STOREY HOLDINGS INC
Provider Business Mailing Address
First Line : 2626 COLE AVE
Second Line :
City : DALLAS
State : TX
Zip : 75204-1094
Country : US
Telephone Number : 214-800-2345
Fax Number : 214-800-2344
Provider Business Practice Location Address
First Line : 2626 COLE AVE
Second Line :
City : DALLAS
State : TX
Zip : 75204-1094
Country : US
Telephone Number : 214-800-2345
Fax Number : 214-800-2344
Authorized Official
Title or Position : CFO/PRESIDE
Name : LYNNE STOREY
Credential :
Telephone Number : 214-800-2345
Provider Enumeration Date : 10/10/2017
Last Update Date : 06/27/2019

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Directions to “STOREY HOLDINGS INC ” Practice Location

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