Provider Demographics
NPI:1710149943
Name:MORNINGSTAR DFW HOME HEALTH INC
Entity Type:Organization
Organization Name:MORNINGSTAR DFW HOME HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/DON
Authorized Official - Prefix:
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:
Authorized Official - Last Name:OWEH
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:817-323-4400
Mailing Address - Street 1:7203 PORT PHILLIP DR
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76002-3862
Mailing Address - Country:US
Mailing Address - Phone:817-323-4400
Mailing Address - Fax:817-557-6828
Practice Address - Street 1:7203 PORT PHILLIP DR
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76002-3862
Practice Address - Country:US
Practice Address - Phone:817-323-4400
Practice Address - Fax:817-557-6828
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-30
Last Update Date:2008-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX011813251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health