- Enrollment id
- O20090514000031
- Enrollment state
- TX
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1720243900
- Multiple npi flag
- N
- Ccn
- 747334
- Associate id
- 0941359343
- Organization name
- PELA HEALTHCARE SERVICES,INC.
- Incorporation date
- 2008-06-24
- Incorporation state
- TX
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 12808 W AIRPORT BLVD
- Address line 2
- STE 341
- City
- SUGAR LAND
- State
- TX
- Zip code
- 774786229