Calvarycaregroup INC
Home Health in Bellville, TX. Organization (NPI-2).
NPI number1154497147
StatusActive
Last updated in NPPESMar 3, 2008
Details
- NPI
- 1154497147
- Entity type
- Organization (NPI-2)
- Legal business name
- Calvarycaregroup INC
- Organization subpart
- No
- Enumeration date
- Nov 28, 2006
- Last updated
- Mar 3, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | 010859 | TX | Yes |
Other names
- Calvary Home Care (Doing Business As)
Practice location
1432 South FrontBellville, TX 77418-3307
Phone 979-865-0626 · Fax 979-865-0637
Mailing address
Po Box 1164Bellville, TX 77418-1164
Phone 979-645-0336 · Fax 979-645-0336
Authorized official
Olubunmi Tabitha Adeniran
Administrator
9798650626
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