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Organization
PEDIATRIC HOME HEALTHCARE, LLC
Active
Organization
PEDIATRIC HOME HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENNIS ALLEN HOSLEY JR. (COO)
(972) 630-4811
Entity
Organization
Contact information
Practice address
1300 SUMMIT AVE, SUITE 430, FORT WORTH, TX 76102
(817) 710-7442
Mailing address
17950 PRESTON RD STE 370, DALLAS, TX 75252-6205
(972) 630-4811
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014301
—
TX
Enumeration date
05/13/2011
Last updated
06/21/2024
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