MEDICARE: GARLAND HOME HEALTHCARE AGENCY 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	3747P1801X	Personal Care Attendant
2	251E00000X	Home Health Agency	008773	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1356418057
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GARLAND HOME HEALTHCARE AGENCY INC

Provider Business Mailing Address
First Line	:	3302 BLUERIDGE LN
Second Line	:
City	:	GARLAND
State	:	TX
Zip	:	75042-4817
Country	:	US
Telephone Number	:	214-876-9669
Fax Number	:	972-276-3305

Provider Business Practice Location Address
First Line	:	3302 BLUERIDGE LN
Second Line	:
City	:	GARLAND
State	:	TX
Zip	:	75042-4817
Country	:	US
Telephone Number	:	214-876-9669
Fax Number	:	972-276-3305

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. LINUS AYOZIE
Credential	:
Telephone Number	:	214-876-9669

Provider Enumeration Date	:	11/29/2006
Last Update Date	:	04/12/2019

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Directions to “GARLAND HOME HEALTHCARE AGENCY INC ” Practice Location

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