Provider Demographics
NPI:1780095869
Name:ORANGEWOOD HOME HEALTH CARE
Entity type:Organization
Organization Name:ORANGEWOOD HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DELORES
Authorized Official - Middle Name:CEASAR
Authorized Official - Last Name:PERRY
Authorized Official - Suffix:
Authorized Official - Credentials:LVN
Authorized Official - Phone:817-419-8766
Mailing Address - Street 1:1104 ORANGEWOOD LN
Mailing Address - Street 2:SUITE 101
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76001-7841
Mailing Address - Country:US
Mailing Address - Phone:817-419-8766
Mailing Address - Fax:817-419-8766
Practice Address - Street 1:1104 ORANGEWOOD LN
Practice Address - Street 2:SUITE 101
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76001-7841
Practice Address - Country:US
Practice Address - Phone:817-419-8766
Practice Address - Fax:817-419-8766
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-12
Last Update Date:2014-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXA214005733261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service