- Enrollment id
- O20070615000065
- Enrollment state
- TX
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1417064619
- Multiple npi flag
- N
- Ccn
- 743125
- Associate id
- 8022117019
- Organization name
- EMRICK SERVICES INCORPORATED
- Doing business as name
- EMRICK HOME HEALTH
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 1919 S SHILOH RD
- Address line 2
- STE 540
- City
- GARLAND
- State
- TX
- Zip code
- 750428236