MEDICARE: OPEN ARMS

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	:	1366740623
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OPEN ARMS

Provider Business Mailing Address
First Line	:	5901 JAMES RIVER DR
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76018-2372
Country	:	US
Telephone Number	:	662-719-5073
Fax Number	:	817-538-9423

Provider Business Practice Location Address
First Line	:	5901 JAMES RIVER DR
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76018-2372
Country	:	US
Telephone Number	:	662-719-5073
Fax Number	:	817-538-9423

Authorized Official
Title or Position	:	CEO
Name	:	CRYSTAL A WADLINGTON
Credential	:
Telephone Number	:	662-719-5073

Provider Enumeration Date	:	03/09/2011
Last Update Date	:	03/09/2011

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Directions to “OPEN ARMS ” Practice Location

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