Medline Health Services

NPI #1649570706 in Fresno, Texas

Provider Information

NPI Number: 1649570706
Entity Type: Organization
Organization Name: Medline Health Services
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Oct 23, 2010
Last Updated: Oct 26, 2010

Practice Location

Address: 4542 LONG CREEK DR
City: Fresno
State: Texas
ZIP Code: 77545-6064
Phone: (832) 877-3806

Authorized Official

Name: MR. KENNETH N UKAH
Title: MANAGER
Phone: (832) 877-3806

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
In Home Supportive Care	253Z00000X
Community/Behavioral Health	251S00000X
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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