Organization Name: | EDWARD'S HOME HEALTH, INC. |
NPI Number: | 1487994364 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | EDWARD MARROQUIN (CEO/DON) |
Mailing Address: | 1106 Clayton Ln Suite 218e Austin |
State: | TX US |
Postal Code: | 787231017 |
Phone Number: | 5127634690 |
Fax Number: | 8663394149 |
NPI Enumeration Date: | 02/28/2013 |
NPI Last Update Date: | 12/04/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 015057 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |