Provider Demographics
NPI:1063657104
Name:JAMES FRASURE
Entity Type:Organization
Organization Name:JAMES FRASURE
Other - Org Name:HEALTHY CHOICE HOME HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMIN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:A
Authorized Official - Last Name:FRASURE
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:870-413-2451
Mailing Address - Street 1:152 WESTON CT
Mailing Address - Street 2:
Mailing Address - City:ROCKWALL
Mailing Address - State:TX
Mailing Address - Zip Code:75032-6227
Mailing Address - Country:US
Mailing Address - Phone:870-413-2451
Mailing Address - Fax:866-311-2451
Practice Address - Street 1:152 WESTON CT
Practice Address - Street 2:
Practice Address - City:ROCKWALL
Practice Address - State:TX
Practice Address - Zip Code:75032-6227
Practice Address - Country:US
Practice Address - Phone:870-413-2451
Practice Address - Fax:866-311-2451
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-03
Last Update Date:2009-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health