MEDICARE: PATINI HOME 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

General Provider Information

NPI Number	:	1265732937
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PATINI HOME HEALTH SERVICES INC.

Provider Business Mailing Address
First Line	:	6100 SARGENT DR
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75094-4599
Country	:	US
Telephone Number	:	214-454-3245
Fax Number	:

Provider Business Practice Location Address
First Line	:	6100 SARGENT DR
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75094-4599
Country	:	US
Telephone Number	:	214-454-3245
Fax Number	:	214-501-2236

Authorized Official
Title or Position	:	ADMINISTRATOR/DON
Name	:	PATRICIA UCHE WILLIAMS
Credential	:
Telephone Number	:	214-454-3245

Provider Enumeration Date	:	10/28/2010
Last Update Date	:	10/28/2010

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