- Enrollment id
- O20101213000421
- Enrollment state
- TX
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1609100981
- Multiple npi flag
- N
- Ccn
- 747617
- Associate id
- 5294922555
- Organization name
- M & D HEALTHCARE SERVICES INC.
- Incorporation date
- 2009-08-14
- Incorporation state
- TX
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 1919 SOUTH SHILOH ROAD
- Address line 2
- SUITE # 215
- City
- GARLAND
- State
- TX
- Zip code
- 75042
- Practice location type
- HHA BRANCH