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Organization
PRIDE 'UR' SELF HOMECARE INC.
Active
Organization
PRIDE 'UR' SELF HOMECARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIDGET IYAMAH (CEO/ADMINISTRATOR)
(469) 866-4244
Entity
Organization
Contact information
Practice address
1991 N STATE HIGHWAY 360 APT 328, GRAND PRAIRIE, TX 75050-1464
(469) 866-4244
Mailing address
1991 N STATE HIGHWAY 360 APT 328, GRAND PRAIRIE, TX 75050-1464
(469) 866-4244
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
02/26/2018
Last updated
02/26/2018
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