Provider Demographics
NPI:1568659886
Name:C B ENTERPRISE
Entity Type:Organization
Organization Name:C B ENTERPRISE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:STEFANI
Authorized Official - Middle Name:PATRICE
Authorized Official - Last Name:BUSH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-779-7013
Mailing Address - Street 1:3201 HAMLETT LN
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75043-2896
Mailing Address - Country:US
Mailing Address - Phone:214-779-7013
Mailing Address - Fax:
Practice Address - Street 1:3201 HAMLETT LN
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75043-2896
Practice Address - Country:US
Practice Address - Phone:214-779-7013
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-01
Last Update Date:2007-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health