Provider Demographics
NPI:1114768751
Name:SWAHC LLC
Entity type:Organization
Organization Name:SWAHC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:PRICE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-714-2872
Mailing Address - Street 1:9155 ELM TREE CIR
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75703-7621
Mailing Address - Country:US
Mailing Address - Phone:903-714-2872
Mailing Address - Fax:
Practice Address - Street 1:210 N STATE LINE AVE STE 203
Practice Address - Street 2:
Practice Address - City:TEXARKANA
Practice Address - State:AR
Practice Address - Zip Code:71854-5947
Practice Address - Country:US
Practice Address - Phone:903-705-4776
Practice Address - Fax:903-705-7199
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-06
Last Update Date:2024-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health