Provider Demographics
NPI:1538488325
Name:PRESTON HOLLOW HOME CARE INC
Entity Type:Organization
Organization Name:PRESTON HOLLOW HOME CARE INC
Other - Org Name:PRESTON HOLLOW HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:R
Authorized Official - Last Name:CRAIG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-567-3873
Mailing Address - Street 1:6011 STEAMBOAT DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-1851
Mailing Address - Country:US
Mailing Address - Phone:972-948-7888
Mailing Address - Fax:214-234-0721
Practice Address - Street 1:6011 STEAMBOAT DR
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-1851
Practice Address - Country:US
Practice Address - Phone:972-948-7888
Practice Address - Fax:214-234-0721
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-19
Last Update Date:2010-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health