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NPI Code Detail

MEDICARE: ENDURING HOME CARE AGENCY, LLC

MEDICARE: ENDURING HOME CARE 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 Agency

General Provider Information

NPI Number : 1649625211
Entity Type Code : Organization
Provider Name (Legal Business Name) : ENDURING HOME CARE AGENCY, LLC
Provider Business Mailing Address
First Line : 2711 N HASKELL AVE
Second Line : STE. 550
City : DALLAS
State : TX
Zip : 75204-2911
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2711 N HASKELL AVE
Second Line : STE. 550
City : DALLAS
State : TX
Zip : 75204-2911
Country : US
Telephone Number : 972-567-1198
Fax Number :
Authorized Official
Title or Position : CEO/ALTERNATE ADMINISTRATOR
Name : AUTUMN ARMSTRONG
Credential :
Telephone Number : 972-567-1198
Provider Enumeration Date : 05/02/2016
Last Update Date : 05/02/2016

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Directions to “ENDURING HOME CARE AGENCY, LLC ” Practice Location

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