- Enrollment id
- O20050901000274
- Enrollment state
- TX
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1306922034
- Multiple npi flag
- N
- Ccn
- 457996
- Associate id
- 0941232789
- Organization name
- ST. ANTHONY'S HOME HEALTHCARE SERVICES, INC.
- Incorporation date
- 2005-06-14
- Incorporation state
- TX
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 612 W NOLANA AVE
- Address line 2
- STE 410
- City
- MCALLEN
- State
- TX
- Zip code
- 785043089