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Organization
MGA HEALTHCARE TEXAS, LLC
Active
Organization
MGA HEALTHCARE TEXAS, LLC
Active
Other names
MGA Homecare
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDRA LEE KOLOSKUS (CHIEF COMPLIANCE OFFICER)
(720) 276-7706
Entity
Organization
Contact information
Practice address
15601 DALLAS PKWY STE 125, ADDISON, TX 75001-3499
(214) 292-9900
(214) 292-9809
Mailing address
7025 N SCOTTSDALE RD STE 200, PARADISE VALLEY, AZ 85253-3675
(602) 508-1883
(602) 385-4941
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
NULL
251E00000X
Home Health Agency
Primary
015128
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
213979201
—
TX
Enumeration date
03/25/2010
Last updated
01/29/2024
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