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Organization
OMEGA PROVIDER SERVICES INC
Active
Organization
OMEGA PROVIDER SERVICES INC
Active
Other names
Omega Home HealthCare Agency
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NGOZI MAY MBAKWE (ADMINISTRATOR)
(817) 728-5590
Entity
Organization
Contact information
Practice address
2300 VALLEY VIEW LN, SUITE 619, IRVING, TX 75062-1721
(817) 728-5590
(817) 728-5599
Mailing address
2300 VALLEY VIEW LN, SUITE 619, IRVING, TX 75062-1721
(817) 728-5590
(817) 728-5599
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
010465
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010465
STATE LICENSE
TX
Enumeration date
08/07/2006
Last updated
04/23/2012
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