Basic Information
| Provider Information | |||||||||
| NPI: | 1336560549 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | SUMMY HOME HEALTH CARE AGENCY LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 594 GARDEN CT | ||||||||
| Address2: | |||||||||
| City: | SOUTHLAKE | ||||||||
| State: | TX | ||||||||
| PostalCode: | 760923500 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8179252979 | ||||||||
| FaxNumber: | 8663008627 | ||||||||
| Practice Location | |||||||||
| Address1: | 2050 GREENWOOD DR | ||||||||
| Address2: | |||||||||
| City: | SOUTHLAKE | ||||||||
| State: | TX | ||||||||
| PostalCode: | 760928360 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8179252979 | ||||||||
| FaxNumber: | 8663008627 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/16/2013 | ||||||||
| LastUpdateDate: | 12/17/2013 | ||||||||
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| AuthorizedOfficialLastName: | SUMMY | ||||||||
| AuthorizedOfficialFirstName: | LLOYD | ||||||||
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| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 8179252979 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MED BCBA | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251E00000X | Y | Agencies | Home Health |
No ID Information.