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Organization
HEAVEN GLORIOUS HOME HEALTH AGENCY INC
Active
Organization
HEAVEN GLORIOUS HOME HEALTH AGENCY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BREAGET N FUMUDONS (ADMINISTRATOR)
(214) 607-7625
Entity
Organization
Contact information
Practice address
2665 VILLA CREEK DR, SUITE A248, DALLAS, TX 75234-7309
(972) 331-4477
(972) 488-9200
Mailing address
2665 VILLA CREEK DR, SUITE A248, DALLAS, TX 75234-7309
(972) 331-4477
(972) 488-9200
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
TX
Other
Enumeration date
12/29/2008
Last updated
09/30/2016
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