- Enrollment id
- O20070627000048
- Enrollment state
- TX
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1306983309
- Multiple npi flag
- N
- Ccn
- 743100
- Associate id
- 0547369878
- Organization name
- SCOF ENTERPRISE INC
- Doing business as name
- SCOF HEALTHCARE PROVIDERS
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 1201 N WATSON RD
- Address line 2
- STE 268
- City
- ARLINGTON
- State
- TX
- Zip code
- 760066222
- Practice location type
- HHA BRANCH