| The Rock Home Visiting Provider Llc | |
|
3512 Cooke Ln Melissa TX 75454-1801 | |
| (773) 681-1505 | |
| Not Available |
| Full Name | The Rock Home Visiting Provider Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 3512 Cooke Ln, Melissa, Texas |
| Authorized Official Name and Position | Girmachew Haile (CEO) |
| Authorized Official Contact | 7736811505 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Rock Home Visiting Provider Llc 3512 Cooke Ln Melissa TX 75454-1801 Ph: () - | The Rock Home Visiting Provider Llc 3512 Cooke Ln Melissa TX 75454-1801 Ph: (773) 681-1505 |
| NPI Number | 1861116808 |
|---|---|
| Provider Enumeration Date | 10/03/2022 |
| Last Update Date | 10/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861116808 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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