Provider Demographics
NPI:1235449208
Name:SHILO HOME HEALTH AGENCY
Entity Type:Organization
Organization Name:SHILO HOME HEALTH AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADM
Authorized Official - Prefix:
Authorized Official - First Name:BIBIANA
Authorized Official - Middle Name:O
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-924-2030
Mailing Address - Street 1:10990 SWITZER AVE
Mailing Address - Street 2:STE 302
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75238-1391
Mailing Address - Country:US
Mailing Address - Phone:214-221-0277
Mailing Address - Fax:214-221-0858
Practice Address - Street 1:10990 SWITZER AVE
Practice Address - Street 2:STE 302
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75238-1391
Practice Address - Country:US
Practice Address - Phone:214-221-0277
Practice Address - Fax:214-221-0858
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-08
Last Update Date:2011-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX621682251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health