Provider Demographics
NPI:1104068089
Name:SERVANTHOOD HEALTHCARE SERVICES, LLC
Entity type:Organization
Organization Name:SERVANTHOOD HEALTHCARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:C
Authorized Official - Last Name:MEADOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-333-1822
Mailing Address - Street 1:2913 RED BIRD LN
Mailing Address - Street 2:
Mailing Address - City:GRAPEVINE
Mailing Address - State:TX
Mailing Address - Zip Code:76051-2623
Mailing Address - Country:US
Mailing Address - Phone:972-333-1822
Mailing Address - Fax:817-421-1120
Practice Address - Street 1:2913 RED BIRD LN
Practice Address - Street 2:
Practice Address - City:GRAPEVINE
Practice Address - State:TX
Practice Address - Zip Code:76051-2623
Practice Address - Country:US
Practice Address - Phone:972-333-1822
Practice Address - Fax:817-421-1120
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SERVANTHOOD HEALTHCARE SERVICES, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-03-24
Last Update Date:2009-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care