Provider Demographics
NPI:1134499460
Name:POTTERS TOUCH HOME HEALTH, INC.
Entity Type:Organization
Organization Name:POTTERS TOUCH HOME HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CORY
Authorized Official - Middle Name:
Authorized Official - Last Name:GEASON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-274-5425
Mailing Address - Street 1:2660 MEADOW RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:PROSPER
Mailing Address - State:TX
Mailing Address - Zip Code:75078-9196
Mailing Address - Country:US
Mailing Address - Phone:214-274-5425
Mailing Address - Fax:866-900-2990
Practice Address - Street 1:2660 MEADOW RIDGE DR
Practice Address - Street 2:
Practice Address - City:PROSPER
Practice Address - State:TX
Practice Address - Zip Code:75078-9196
Practice Address - Country:US
Practice Address - Phone:214-274-5425
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-03
Last Update Date:2012-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health