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Organization
PRUDENTIAL HEALTH CARE SERVICES INC
Active
Organization
PRUDENTIAL HEALTH CARE SERVICES INC
Active
Other names
Prudential Health Care Services Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMPSON OHONBA (ADMINISTRATOR)
(817) 417-0227
Entity
Organization
Contact information
Practice address
7011 LAKE ROBERTS WAY, ARLINGTON, TX 76002-4041
(817) 608-0455
Mailing address
7011 LAKE ROBERTS WAY, ARLINGTON, TX 76002-4041
(817) 608-0455
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
009477
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001013960
—
TX
Enumeration date
10/20/2006
Last updated
10/16/2008
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