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NPI Code Detail

MEDICARE: HIGHLAND SPRINGS HOME CARE, LLC

MEDICARE: HIGHLAND SPRINGS HOME CARE, LLC
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 Agency011581TX

General Provider Information

NPI Number : 1073743357
Entity Type Code : Organization
Provider Name (Legal Business Name) : HIGHLAND SPRINGS HOME CARE, LLC
Provider Business Mailing Address
First Line : 8000 FRANKFORD RD
Second Line :
City : DALLAS
State : TX
Zip : 75252-6834
Country : US
Telephone Number : 972-232-8086
Fax Number : 972-232-8103
Provider Business Practice Location Address
First Line : 8000 FRANKFORD RD
Second Line :
City : DALLAS
State : TX
Zip : 75252-6834
Country : US
Telephone Number : 972-232-8086
Fax Number : 972-232-8103
Authorized Official
Title or Position : ADMINISTRATOR
Name : MARY EVELYN BRANCH
Credential : R.N.
Telephone Number : 972-232-8086
Provider Enumeration Date : 07/21/2009
Last Update Date : 07/21/2009

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Directions to “HIGHLAND SPRINGS HOME CARE, LLC ” Practice Location

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