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Organization
IVORY HOMEHEALTH AGENCY INC
Active
Organization
IVORY HOMEHEALTH AGENCY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE ODHONG LVN (ADMINISTRATOR)
(972) 803-5616
Entity
Organization
Contact information
Practice address
12000 FORD RD STE A411, DALLAS, TX 75234
(972) 803-5616
(214) 593-4341
Mailing address
12000 FORD RD STE A411, DALLAS, TX 75234-7249
(972) 803-5616
(214) 593-4341
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
013567
TX
Other
Enumeration date
03/02/2010
Last updated
06/01/2018
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