Bolton Healthcare, LLC
Home Health in Conroe, TX. Organization (NPI-2).
NPI number1386627818
StatusActive
Last updated in NPPESJun 4, 2015
Details
- NPI
- 1386627818
- Entity type
- Organization (NPI-2)
- Legal business name
- Bolton Healthcare, LLC
- Organization subpart
- No
- Enumeration date
- Nov 29, 2005
- Last updated
- Jun 4, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | 012073 | TX | Yes |
| 251J00000X | Nursing Care | 1810244-03 | TX |
Other names
- Guardian Angel Home Health Care (Doing Business As)
Practice location
1300 S Frazier StSuite 205
Conroe, TX 77301-4400
Phone 936-828-3739 · Fax 936-828-3741
Mailing address
Po Box 841Elkhart, TX 75839-0841
Phone 904-764-0033 · Fax 903-764-1556
Authorized official
Roy H. Bolton
President
9037640033
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