# EBENEZER HOME HEALTH CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ebenezer Home Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194852616
- **Authorized official:** MR. THOMAS A SAMUEL (ADMINISTRATOR)
- **Authorized official phone:** (972) 289-9400

## Contact information

- **Practice address:** 1515 E KEARNEY ST, SUITE 100, MESQUITE, TX 75149-7545
- **Practice address phone:** (972) 289-9400
- **Practice address fax:** (972) 289-9402
- **Mailing address:** 1515 E. KEARNEY ST, SUITE 100, MESQUITE, TX 75149-2688
- **Mailing address phone:** (972) 289-9400
- **Mailing address fax:** (972) 289-9402

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 010358 | TX | Yes |

## Other

- **Enumeration date:** 02/28/2007
- **Last updated:** 02/06/2009