# ALLY HOME HEALTH LLC

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

## Provider details

- **NPI number:** 1285065813
- **Authorized official:** ANTHONY LAVA FAJARDO RN (DIRECTOR OF CLINICAL SERVICES)
- **Authorized official phone:** (214) 363-2559

## Contact information

- **Practice address:** 5430 GLEN LAKES DR, SUITE 260, DALLAS, TX 75231-4362
- **Practice address phone:** (214) 363-2559
- **Practice address fax:** (866) 540-1396
- **Mailing address:** 5430 GLEN LAKES DR, SUITE 260, DALLAS, TX 75231-4362
- **Mailing address phone:** (214) 363-2559
- **Mailing address fax:** (866) 540-1396

## Taxonomy

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

## Other

- **Enumeration date:** 12/08/2013
- **Last updated:** 12/08/2013