- Enrollment id
- O20091020000593
- Enrollment state
- TX
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1366697831
- Multiple npi flag
- N
- Ccn
- 747468
- Associate id
- 7911044193
- Organization name
- FAMILY NURSES HOME HEALTH SERVICES INC
- Doing business as name
- FAMILY NURSES HOME HEALTH AGENCY
- Incorporation date
- 2008-11-06
- Incorporation state
- TX
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 777 S CENTRAL EXPY
- Address line 2
- STE 1A
- City
- RICHARDSON
- State
- TX
- Zip code
- 750807412