Bali Health LLC

NPI #1700404928 in Desoto, Texas

Provider Information

NPI Number: 1700404928
Entity Type: Organization
Organization Name: Bali Health LLC
Primary Specialty: Home Health
Enumeration Date: Jul 14, 2020
Last Updated: Jul 14, 2020

Practice Location

Address: 1605 CHACON CANYON DR
City: Desoto
State: Texas
ZIP Code: 75115-7725
Phone: (214) 514-9497

Authorized Official

Name: KENDRA FANTROY
Title: ADMINISTRATOR
Phone: (214) 514-9497

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X	Primary

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