Organization Name: | B-TRAK LLC |
NPI Number: | 1073949764 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KELLY TUTTLE (OWNER/ADMINISTRATOR) |
Mailing Address: | 203 Delby St Hutto |
State: | TX US |
Postal Code: | 78634 |
Phone Number: | 7155747006 |
Fax Number: | |
NPI Enumeration Date: | 09/25/2013 |
NPI Last Update Date: | 09/25/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |