Mary Hansen X, CARE GIVER
Individual provider Active NPI Personal Care Attendant · Holliday, TX
NPI 1598115263 · NPPES record last updated Jun 14, 2016
Key facts
- NPI
- 1598115263
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 200 South Bois D Arc
Holliday, TX 76366-0226 - Phone
- (940) 583-4519
- NPI assigned
- Jun 14, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Yes |
Addresses
Primary practice location
200 South Bois D Arc
Holliday, TX 76366-0226
Mailing address
PO Box 226
Holliday, TX 76366-0226
Phone (940) 583-4519
Other providers in Holliday, TX
- Edward Orland Brooks III
- Jared William Clark
- D & E Pharmaceutical Services
- Dustin Hays
- Holliday Independent School District
- Misty Loyd
- Rachel Leanne Lyles
- Ann M Park
All providers in Holliday, TX · Personal Care Attendant in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 14, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.