- Enrollment id
- O20101029000880
- Enrollment state
- TX
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1003141409
- Multiple npi flag
- N
- Ccn
- 747742
- Associate id
- 1951595354
- Organization name
- NOBLE CHOICE HOME HEALTHCARE INC
- Incorporation date
- 2010-02-11
- Incorporation state
- TX
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 3132 W MILLER RD
- City
- GARLAND
- State
- TX
- Zip code
- 750416108
- Practice location type
- HHA BRANCH