MEDICARE: VISIT HOME HEALTH CARE SERVICES 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

General Provider Information

NPI Number	:	1154553303
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VISIT HOME HEALTH CARE SERVICES INC

Provider Business Mailing Address
First Line	:	2621 CEDAR VIEW DR
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76006-2818
Country	:	US
Telephone Number	:	817-946-3318
Fax Number	:

Provider Business Practice Location Address
First Line	:	2621 CEDAR VIEW DR
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76006-2818
Country	:	US
Telephone Number	:	817-946-3318
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. SISI E IMAZOGBONRE
Credential	:
Telephone Number	:	817-946-3318

Provider Enumeration Date	:	08/20/2009
Last Update Date	:	08/20/2009

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