# PRUDENTIAL HEALTH CARE SERVICES INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Prudential Health Care Services Inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205918166
- **Authorized official:** MR. THOMPSON OHONBA (ADMINISTRATOR)
- **Authorized official phone:** (817) 417-0227

## Contact information

- **Practice address:** 7011 LAKE ROBERTS WAY, ARLINGTON, TX 76002-4041
- **Practice address phone:** (817) 608-0455
- **Mailing address:** 7011 LAKE ROBERTS WAY, ARLINGTON, TX 76002-4041
- **Mailing address phone:** (817) 608-0455

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 009477 | TX | Yes |

## Other

- **Enumeration date:** 10/20/2006
- **Last updated:** 10/16/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001013960 | — | TX |