- Enrollment id
- O20030422000024
- Enrollment state
- TX
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1912095720
- Multiple npi flag
- N
- Ccn
- 679375
- Associate id
- 3577472372
- Organization name
- ALLTECH HOME HEALTH INC
- Incorporation date
- 2002-03-13
- Incorporation state
- TX
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 8700 COMMERCE PARK DR
- Address line 2
- STE 236
- City
- HOUSTON
- State
- TX
- Zip code
- 770367451
- Practice location type
- HHA BRANCH