- Enrollment id
- O20070927000488
- Enrollment state
- TX
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1144331372
- Multiple npi flag
- N
- Ccn
- 747004
- Associate id
- 9830284454
- Organization name
- PECULIAR CARE HOME HEALTH SERVICES INC.
- Incorporation date
- 2006-05-23
- Incorporation state
- TX
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 3939 US HIGHWAY 80 E
- Address line 2
- STE 470A
- City
- MESQUITE
- State
- TX
- Zip code
- 751503359