# 1ST MELLINIUM HOME HEALTH SERVICES INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154460301
- **Authorized official:** JOSEPH FORMUSOH RN (ADMINISTRATOR)
- **Authorized official phone:** (214) 946-1122

## Contact information

- **Practice address:** 2730 N STEMMONS FWY STE 706, DALLAS, TX 75207-2205
- **Practice address phone:** (214) 946-1122
- **Practice address fax:** (214) 946-7337
- **Mailing address:** 2730 N STEMMONS FWY STE 706, DALLAS, TX 75207-2205
- **Mailing address phone:** (214) 946-1122
- **Mailing address fax:** (214) 946-7337

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 008405 | TX | Yes |

## Other

- **Enumeration date:** 02/05/2007
- **Last updated:** 11/20/2009