Physicare Ancillary Service Corporation
Home Health in Weatherford, TX. Organization (NPI-2).
NPI number1336347525
StatusActive
Last updated in NPPESJul 10, 2007
Details
- NPI
- 1336347525
- Entity type
- Organization (NPI-2)
- Legal business name
- Physicare Ancillary Service Corporation
- Organization subpart
- No
- Enumeration date
- Jul 10, 2007
- Last updated
- Jul 10, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | 26048050564 | TX | Yes |
Practice location
925 Santa Fe DrSuite 111
Weatherford, TX 76086-5866
Phone 817-594-9200
Mailing address
Po Box 2306Weatherford, TX 76086-7306
Phone 817-594-9200
Authorized official
Luke Jason Haynes
Director
8175949200
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