- Enrollment id
- O20080818000280
- Enrollment state
- TX
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1205013257
- Multiple npi flag
- N
- Ccn
- 747139
- Associate id
- 4789759333
- Organization name
- KOREAN HOME HEALTH CARE INC
- Doing business as name
- KOREAN HOME HEALTH CARE
- Incorporation date
- 2007-11-02
- Incorporation state
- TX
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 1908 ROYAL LANE
- Address line 2
- STE 100
- City
- DALLAS
- State
- TX
- Zip code
- 752293128