316 Pediatric Home Healthcare, LLC
Home Health in Weatherford, TX. Organization (NPI-2).
NPI number1629691548
StatusActive
Last updated in NPPESJan 20, 2021
Details
- NPI
- 1629691548
- Entity type
- Organization (NPI-2)
- Legal business name
- 316 Pediatric Home Healthcare, LLC
- Organization subpart
- No
- Enumeration date
- May 27, 2020
- Certification date
- Jan 20, 2021
- Last updated
- Jan 20, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | – | – | Yes |
Practice location
208 N Main St Ste 130Weatherford, TX 76086-3267
Phone 817-761-7337
Mailing address
208 N Main St Ste 130Weatherford, TX 76086-3267
Phone 817-761-7337
Authorized official
Michelle Maxfield
President
8173663793
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