Patricia Walker

Individual provider Active NPI In Home Supportive Care Agency · Corrigan, TX

NPI 1831603828 · NPPES record last updated Nov 29, 2017

Key facts

NPI
1831603828
Entity type
Individual (NPI type 1)
Primary specialty
In Home Supportive Care Agency 253Z00000X
Practice address
514 MLK Blvd
Corrigan, TX 75939-2161
Phone
(936) 404-2653
NPI assigned
Nov 29, 2017
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)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Yes

Addresses

Primary practice location

514 MLK Blvd
Corrigan, TX 75939-2161

Mailing address

514 MLK Blvd
Corrigan, TX 75939-2161
Phone (936) 404-2653

Other providers in Corrigan, TX

All providers in Corrigan, TX · In Home Supportive Care Agency in Texas

Sources for this page

Verify at the official NPI Registry.