MEDICARE: AMAZING & BLESSED 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	:	1497799738
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMAZING & BLESSED HOME HEALTH SERVICES INC

Provider Business Mailing Address
First Line	:	905 GREEN COVE LN
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75232-1639
Country	:	US
Telephone Number	:	214-327-1100
Fax Number	:	214-327-1115

Provider Business Practice Location Address
First Line	:	905 GREEN COVE LN
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75232-1639
Country	:	US
Telephone Number	:	214-327-1100
Fax Number	:	214-327-1115

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	SHARON LOVE GUILLORY
Credential	:	LVN
Telephone Number	:	972-374-8082

Provider Enumeration Date	:	06/16/2006
Last Update Date	:	07/31/2012

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