PROVIDENCE HEALTH SERVICES OF WACO NPI 1184158362

NPI Information

PROVIDENCE HEALTH SERVICES OF WACO is a durable medical equipment medical supplies in Lacy Lakeview, TX. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. PROVIDENCE HEALTH SERVICES OF WACO NPI is 1184158362. The provider is registered as an organization entity type.

The provider's business location address is:

1130 N LOOP 340
LACY LAKEVIEW, TX
ZIP 76705
Phone: (254) 870-6480
Fax: (254) 870-6481

The provider's authorized official is Craig Cordola .
The authorized official title is Ceo and has the following contact phone number (512) 324-1000.

The enumeration date for this NPI number is 4/14/2017 and was last updated on 11/20/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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