Provider Demographics
NPI:1073023578
Name:STOREY HOLDINGS INC
Entity Type:Organization
Organization Name:STOREY HOLDINGS INC
Other - Org Name:STOREY HOLDINGS, LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CFO/PRESIDE
Authorized Official - Prefix:
Authorized Official - First Name:LYNNE
Authorized Official - Middle Name:
Authorized Official - Last Name:STOREY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-800-2345
Mailing Address - Street 1:2626 COLE AVE
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75204-1094
Mailing Address - Country:US
Mailing Address - Phone:214-800-2345
Mailing Address - Fax:214-800-2344
Practice Address - Street 1:2626 COLE AVE
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75204-1094
Practice Address - Country:US
Practice Address - Phone:214-800-2345
Practice Address - Fax:214-800-2344
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-10
Last Update Date:2019-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health