Provider Demographics
NPI:1760074157
Name:2 PARTNERS ENTERPRISES LLC
Entity Type:Organization
Organization Name:2 PARTNERS ENTERPRISES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:
Authorized Official - Last Name:BANKSTON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:469-394-4392
Mailing Address - Street 1:1053 VZ COUNTY ROAD 2712
Mailing Address - Street 2:
Mailing Address - City:MABANK
Mailing Address - State:TX
Mailing Address - Zip Code:75147-6105
Mailing Address - Country:US
Mailing Address - Phone:469-394-4392
Mailing Address - Fax:
Practice Address - Street 1:1110 S BUCKNER BLVD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75217-4303
Practice Address - Country:US
Practice Address - Phone:469-394-4392
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-07
Last Update Date:2021-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health