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NPI Code Detail

MEDICARE: TARRANT HOME HEALTH CARE, LLC

MEDICARE: TARRANT HOME HEALTH 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 Agency

General Provider Information

NPI Number : 1235487265
Entity Type Code : Organization
Provider Name (Legal Business Name) : TARRANT HOME HEALTH CARE, LLC
Provider Business Mailing Address
First Line : 1817 TURNER RIDGE DR
Second Line : APT 12101
City : FORT WORTH
State : TX
Zip : 76110-7439
Country : US
Telephone Number : 916-903-6659
Fax Number :
Provider Business Practice Location Address
First Line : 1817 TURNER RIDGE DR
Second Line : APT 12101
City : FORT WORTH
State : TX
Zip : 76110-7439
Country : US
Telephone Number : 916-903-6659
Fax Number :
Authorized Official
Title or Position : ADMINISTRATOR
Name : HARSHITHA ALAVALA
Credential :
Telephone Number : 916-903-6659
Provider Enumeration Date : 08/23/2012
Last Update Date : 08/23/2012

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Directions to “TARRANT HOME HEALTH CARE, LLC ” Practice Location

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