MEDICARE: TENSAS HOME HEALTH 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
1	251E00000X	Home Health Agency	402	LA

General Provider Information

NPI Number	:	1073640348
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TENSAS HOME HEALTH INC

Provider Business Mailing Address
First Line	:	PO BOX 598
Second Line	:
City	:	NEWELLTON
State	:	LA
Zip	:	71357
Country	:	US
Telephone Number	:	318-467-2028
Fax Number	:	318-467-2073

Provider Business Practice Location Address
First Line	:	1010 VERONA ST
Second Line	:
City	:	NEWELLTON
State	:	LA
Zip	:	71357
Country	:	US
Telephone Number	:	318-467-2028
Fax Number	:	318-467-2073

Authorized Official
Title or Position	:	SEC TREASURE
Name	:	MR. DAVID ALLEN GROCE
Credential	:	CO OWNER
Telephone Number	:	318-467-2028

Provider Enumeration Date	:	02/27/2007
Last Update Date	:	04/25/2008

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