MEDICARE: RUTH ODAY

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	:	1487857165
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RUTH ODAY

Provider Business Mailing Address
First Line	:	1901 SOUTHEAST PKWY
Second Line	:	SUITE111
City	:	ARLINGTON
State	:	TX
Zip	:	76018-3605
Country	:	US
Telephone Number	:	214-437-4888
Fax Number	:	817-468-3433

Provider Business Practice Location Address
First Line	:	1901 SOUTHEAST PKWY
Second Line	:	SUITE111
City	:	ARLINGTON
State	:	TX
Zip	:	76018-3605
Country	:	US
Telephone Number	:	214-437-4888
Fax Number	:	817-468-3433

Authorized Official
Title or Position	:	OWNER
Name	:	MS. RUTH ODAY
Credential	:	RN
Telephone Number	:	214-437-4888

Provider Enumeration Date	:	06/08/2007
Last Update Date	:	07/21/2009

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