Provider Demographics
NPI:1407544901
Name:SPENCER FAMILY HOME HEALTH SYSTEMS
Entity Type:Organization
Organization Name:SPENCER FAMILY HOME HEALTH SYSTEMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARSHAUN
Authorized Official - Middle Name:D
Authorized Official - Last Name:HURSTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-565-5743
Mailing Address - Street 1:445 E FM 1382 # 313
Mailing Address - Street 2:
Mailing Address - City:CEDAR HILL
Mailing Address - State:TX
Mailing Address - Zip Code:75104-6047
Mailing Address - Country:US
Mailing Address - Phone:469-565-5743
Mailing Address - Fax:
Practice Address - Street 1:524 PALO DURO CIR
Practice Address - Street 2:
Practice Address - City:DESOTO
Practice Address - State:TX
Practice Address - Zip Code:75115-2955
Practice Address - Country:US
Practice Address - Phone:469-565-5743
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-24
Last Update Date:2023-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health