# AETNA HOME CARE & MANAGEMENT INC

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

## Provider details

- **NPI number:** 1174069017
- **Authorized official:** PATIENCE AKPANDEM (OWNER)
- **Authorized official phone:** (682) 381-9632

## Contact information

- **Practice address:** 12989 JUPITER RD STE 104, DALLAS, TX 75238-5248
- **Practice address phone:** (682) 381-9632
- **Practice address fax:** (682) 316-0058
- **Mailing address:** 12989 JUPITER RD STE 104, DALLAS, TX 75238-5248
- **Mailing address phone:** (682) 381-9632
- **Mailing address fax:** (682) 316-0058

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | TX | Yes |
| 3747A0650X | Attendant Care Provider | — | NULL | — |
| 3747A0650X | Attendant Care Provider | — | — | — |
| 3747P1801X | Personal Care Attendant | — | NULL | — |
| 3747P1801X | Personal Care Attendant | — | — | — |

## Other

- **Enumeration date:** 01/17/2017
- **Last updated:** 07/07/2023