Organization · NPI-2

Eddleman, LLC

In Home Supportive Care · Tyler, TX

NPI number1073808762
StatusActive
Last updated in NPPESJun 10, 2011

Details

NPI
1073808762
Entity type
Organization (NPI-2)
Legal business name
Eddleman, LLC
Organization subpart
No
Enumeration date
Jun 10, 2011
Last updated
Jun 10, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
253Z00000X In Home Supportive Care––Yes

Other names

  • Home Instead Senior Care #757 (Doing Business As)

Practice location

215 Winchester Dr
Suite 106
Tyler, TX 75701-8818

Phone 903-617-6892 · Fax 903-617-6893

Mailing address

215 Winchester Dr
Suite 106
Tyler, TX 75701-8818

Phone 903-617-6892

Authorized official

Stephanie M. Eddleman
Manager/Administrator
5014541211

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