Providence Group Home
Providence Group Home is a Home Health Agency in Dallas, Texas. Registered with an NPI since 2010.
- In the registry since
- 2010
Practice location Address checks out
1047 Hillburn DrDallas, TX 75217-4328
Phone: (214) 680-9144
Fax: (972) 226-7935
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Home Health Agency (primary) | Taxonomy 251E00000X |
|---|
Record details
| NPI number | 1811219942 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Polycarp Ohakwe — Owner · (214) 680-9144 |
| NPI enumerated | February 16, 2010 |
| Last updated in NPPES | February 16, 2010 |
| Mailing address | 3327 Chapelwood Dr, Sunnyvale, TX 75182-4005 |
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