A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language...
taxonomy 251E00000X
Identifiers
Type
Value
Notes
01 (TX)
747984
PTAN
01 (TX)
019377
HCSSA LICENSE
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
Fairmont Home Health
Type code 3recorded 2023-11-14
Practice context
Multi-provider organization.
1 individual provider on file at this primary address.
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