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Organization
NEW DESTINY CARE OF DFW-LEWISVILLE
Active
Organization
NEW DESTINY CARE OF DFW-LEWISVILLE
Active
Parent organization
DESTINY HEALTH MANAGEMENT SERVICES CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
DESTINY HEALTH MANAGEMENT SERVICES CORPORATION
Authorized official
DR. CLARENCE A PARKS M.D (CEO)
(815) 275-1540
Entity
Organization
Contact information
Practice address
500 W MAIN ST, SUITE 210, LEWISVILLE, TX 75057-3641
(586) 634-0386
Mailing address
2810 E TRINITY MILLS RD, SUITE 209-168, CARROLLTON, TX 75006-2545
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
011002
TX
Other
Enumeration date
05/18/2015
Last updated
05/18/2015
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