Provider Demographics
NPI:1548696339
Name:INHOME WHOLISTICARE AND WELLNESS - SOUTH
Entity type:Organization
Organization Name:INHOME WHOLISTICARE AND WELLNESS - SOUTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:DIAZ
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:972-400-2196
Mailing Address - Street 1:1101 E PLANO PKWY
Mailing Address - Street 2:SUITE C-1
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75074-8541
Mailing Address - Country:US
Mailing Address - Phone:972-400-2196
Mailing Address - Fax:972-235-3754
Practice Address - Street 1:1101 E PLANO PKWY
Practice Address - Street 2:SUITE C-1
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75074-8541
Practice Address - Country:US
Practice Address - Phone:972-400-2196
Practice Address - Fax:972-235-3754
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-24
Last Update Date:2013-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care