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NPI Code Detail

MEDICARE: GARLAND HOME HEALTHCARE AGENCY INC

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
13747P1801XPersonal Care Attendant
2251E00000XHome Health Agency008773TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID 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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