Provider Demographics
NPI:1013171610
Name:REDUS HOME HEALTH CARE
Entity Type:Organization
Organization Name:REDUS HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LODA
Authorized Official - Middle Name:
Authorized Official - Last Name:EDWARDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-974-6699
Mailing Address - Street 1:2107 DOVER DR
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75006-2926
Mailing Address - Country:US
Mailing Address - Phone:972-974-6699
Mailing Address - Fax:972-546-0446
Practice Address - Street 1:2107 DOVER DR
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75006-2926
Practice Address - Country:US
Practice Address - Phone:972-974-6699
Practice Address - Fax:972-546-0446
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-12
Last Update Date:2008-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health