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Organization
KGBELLOS RESIDENTIAL CARE, INC.
Active
Organization
KGBELLOS RESIDENTIAL CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ONYEKACHI OKORO (ADMINISTRATOR)
(214) 253-7486
Entity
Organization
Contact information
Practice address
2015 VISTA DR, LEWISVILLE, TX 75067-7474
(214) 253-7486
(214) 488-5983
Mailing address
2015 VISTA DR, LEWISVILLE, TX 75067-7474
(214) 253-7486
(214) 488-5983
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
014332
TX
311ZA0620X
Adult Care Home Facility
—
—
Other
Enumeration date
10/21/2010
Last updated
11/15/2011
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