MAIN STREET HOMECARE

A HOME HEALTHCARE PROVIDER

Company Name:

Medicare Provider Number:

679052

Ownership Type:

Proprietary

Date Certified:

07-06-2001

Address:

415 WEST MAIN STREET

City, State, Zip:

AZLE , TX 76020

County:

TARRANT

Country:

Phone:

8174447992

Fax:

General Email:

Web Site:

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