# DISTINCT HOME HEALTH SERVICE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255917936
- **Authorized official:** SHELLEY ALENI-ODEH (OWNER)
- **Authorized official phone:** (682) 554-2234

## Contact information

- **Practice address:** 2832 N CAMINO LAGOS, GRAND PRAIRIE, TX 75054-6755
- **Practice address phone:** (682) 554-2234
- **Practice address fax:** (214) 988-2024
- **Mailing address:** 2832 N CAMINO LAGOS, GRAND PRAIRIE, TX 75054-6755
- **Mailing address phone:** (682) 554-2234
- **Mailing address fax:** (214) 988-2024

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 03/22/2021
- **Last updated:** 03/22/2021