# FARMINGTON PLACE HEALTHCARE SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Farmington Place Habilitation Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255589834
- **Authorized official:** MR. KEHINDE OLUGBOLAHAN OGUNDIPE (CEO/ADMINISTRATOR)
- **Authorized official phone:** (214) 221-0020

## Contact information

- **Practice address:** 11325 PEGASUS ST \# S-142, DALLAS, TX 75238-5239
- **Practice address phone:** (214) 221-0020
- **Mailing address:** 11325 PEGASUS ST S-142, DALLAS, TX 75238-5239
- **Mailing address phone:** (214) 221-0020

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 9059 | TX | Yes |

## Other

- **Enumeration date:** 09/08/2008
- **Last updated:** 09/08/2008