# EMMANUEL HEALTHCARE SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003091968
- **Authorized official:** RAIFU FOLUWASO MUSTAPHA RN,BSN (OWNER)
- **Authorized official phone:** (817) 784-9454

## Contact information

- **Practice address:** 1111 W ARKANSAS LN STE A, ARLINGTON, TX 76013-6376
- **Practice address phone:** (817) 784-9454
- **Practice address fax:** (817) 467-7055
- **Mailing address:** 1111 W ARKANSAS LN STE A, ARLINGTON, TX 76013-6376
- **Mailing address phone:** (817) 784-9454
- **Mailing address fax:** (817) 467-7055

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 011701 | TX | Yes |

## Other

- **Enumeration date:** 01/09/2008
- **Last updated:** 06/19/2008