Nosidrah Enterprises, LLC
NPI #1003360736 in Wichita Falls, Texas
Provider Information
- NPI Number
- 1003360736
- Entity Type
- Organization
- Organization Name
- Nosidrah Enterprises, LLC
- Primary Specialty
- In Home Supportive Care
- Enumeration Date
- Aug 11, 2016
- Last Updated
- Aug 11, 2016
Practice Location
- Address
- 4502 LAKE PARK DR
- City
- Wichita Falls
- State
- Texas
- ZIP Code
- 76302-2808
- Phone
- (940) 642-5263
Authorized Official
- Name
- MR. KEVIN MICHAEL HARDISON
- Title
- OWNER/ASSISTANT ADMINISTRATOR
- Phone
- (940) 642-5263
Specialties & Taxonomy Codes
| Specialty |
|---|
| In Home Supportive Care |
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