St Nicholas Provider Services Inc
St Nicholas Provider Services Inc is a Home Health Agency in Arlington, Texas. Licensed in Texas. Registered with an NPI since 2006.
- Licensed in
- TX
- In the registry since
- 2006
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
7008 Lake Jackson DrArlington, TX 76002-4054
Phone: (817) 468-9006
Fax: (817) 468-9006
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Home Health Agency (primary) | Taxonomy 251E00000X · Licence 010407 (TX) |
|---|
Record details
| NPI number | 1013934751 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Olufesola Fasakin — Administrator · (817) 468-9006 |
| NPI enumerated | July 17, 2006 |
| Last updated in NPPES | July 19, 2010 |
| Mailing address | 7008 Lake Jackson Dr, Arlington, TX 76002-4054 |
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