Organization Name: | BENNETTPRESTON CORP |
NPI Number: | 1184955429 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CINDY ANN JOHNSON (ADMINISTRATOR) |
Mailing Address: | 429 Keller Pkwy Keller |
State: | TX US |
Postal Code: | 762482302 |
Phone Number: | 8173379001 |
Fax Number: | 8173379602 |
NPI Enumeration Date: | 01/27/2010 |
NPI Last Update Date: | 01/27/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | 011057 |
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 |