Organization Name: | CAYDEE BLUE CORP |
NPI Number: | 1528480605 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GREG E CARSON (PRESIDENT) |
Mailing Address: | 940 N Belt Line Rd Suite 101 Irving |
State: | TX US |
Postal Code: | 750616344 |
Phone Number: | 9727902699 |
Fax Number: | 9727902695 |
NPI Enumeration Date: | 01/09/2014 |
NPI Last Update Date: | 01/09/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |