MEDICARE: EMERSON HEALTH 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		TX

General Provider Information

NPI Number	:	1245529114
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EMERSON HEALTH SERVICES INC

Provider Business Mailing Address
First Line	:	5708 ROCKPORT LN
Second Line	:
City	:	HALTOM CITY
State	:	TX
Zip	:	76137-2123
Country	:	US
Telephone Number	:	817-724-3777
Fax Number	:

Provider Business Practice Location Address
First Line	:	5708 ROCKPORT LN
Second Line	:
City	:	HALTOM CITY
State	:	TX
Zip	:	76137-2123
Country	:	US
Telephone Number	:	817-724-3777
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. ELIZABETH UGOJI OSONDU
Credential	:	JP
Telephone Number	:	817-724-3777

Provider Enumeration Date	:	03/31/2011
Last Update Date	:	03/31/2011

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