Provider Demographics
NPI:1790279529
Name:ARBOR HEALTHCARE GROUP, INC
Entity Type:Organization
Organization Name:ARBOR HEALTHCARE GROUP, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:E
Authorized Official - Last Name:HUMPHREY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:334-320-5305
Mailing Address - Street 1:11477 WOODLAND SPRINGS DR STE 130
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76244-7133
Mailing Address - Country:US
Mailing Address - Phone:817-741-4331
Mailing Address - Fax:
Practice Address - Street 1:11477 WOODLAND SPRINGS
Practice Address - Street 2:SUITE 130
Practice Address - City:FORTH WORTH
Practice Address - State:TX
Practice Address - Zip Code:76244-7133
Practice Address - Country:US
Practice Address - Phone:817-741-4331
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-15
Last Update Date:2018-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies