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NPI Code Detail

MEDICARE: OUR LOVING HANDS HOME HEALTH AGENCY, LLC

MEDICARE: OUR LOVING HANDS HOME HEALTH AGENCY, LLC
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
1251E00000XHome Health Agency010378TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1010378OTHERTXHOME HEALTH AGENCY

General Provider Information

NPI Number : 1629021993
Entity Type Code : Organization
Provider Name (Legal Business Name) : OUR LOVING HANDS HOME HEALTH AGENCY, LLC
Provider Business Mailing Address
First Line : 2906 LAS CAMPANAS DR
Second Line :
City : DALLAS
State : TX
Zip : 75234-5014
Country : US
Telephone Number : 214-478-4885
Fax Number : 972-620-3092
Provider Business Practice Location Address
First Line : 2906 LAS CAMPANAS DR
Second Line :
City : DALLAS
State : TX
Zip : 75234-5014
Country : US
Telephone Number : 214-478-4885
Fax Number : 972-620-3092
Authorized Official
Title or Position : ADMINISTRATOR
Name : MR. JOHN WILLIS HOWARD
Credential :
Telephone Number : 214-478-4885
Provider Enumeration Date : 05/18/2006
Last Update Date : 08/22/2020

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Directions to “OUR LOVING HANDS HOME HEALTH AGENCY, LLC ” Practice Location

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