National Provider Identifier Database

FUNCTIONALMEDORG
Hospice Care, Community Based


Contact Information

FUNCTIONALMED.ORG
9710 COUNTY ROAD 2426
TERRELL, TX75160-8825
Phone: 972-877-7767
Fax: 972-767-0939
Website:
Specialty Taxonomy Code
* Hospice Care, Community Based 251G00000X
Home Health 251E00000X
Nursing Care 251J00000X
Voluntary or Charitable 251V00000X

* Indicates primary specialty

NPI Profile & details for FUNCTIONALMED.ORG

NPI Number 1457658833
Legal business name
LBN
FUNCTIONALMED.ORG
Authorized official DIANA WOOLVERTON - (CHIEF EXECUTIVE OFFICER)
Entity Organization
Organization subpart No
Enumeration date 02/19/2011
Last updated 02/19/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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