Provider Demographics
NPI:1265621940
Name:1ST PRIORITY HOME HEALTH & COMMUNITY SERVICES, LLC
Entity type:Organization
Organization Name:1ST PRIORITY HOME HEALTH & COMMUNITY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:YOLANDA
Authorized Official - Middle Name:SHELTON
Authorized Official - Last Name:MITCHELL
Authorized Official - Suffix:
Authorized Official - Credentials:MED
Authorized Official - Phone:214-734-1717
Mailing Address - Street 1:1148 S JOE WILSON RD
Mailing Address - Street 2:
Mailing Address - City:CEDAR HILL
Mailing Address - State:TX
Mailing Address - Zip Code:75104-7508
Mailing Address - Country:US
Mailing Address - Phone:214-734-1717
Mailing Address - Fax:972-291-7504
Practice Address - Street 1:8837 BONNIE VIEW RD STE 101
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75241-7429
Practice Address - Country:US
Practice Address - Phone:214-734-1717
Practice Address - Fax:972-291-7504
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-18
Last Update Date:2007-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health