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Organization
ROG HOME HEALTH SERVICES, LLC
Active
Organization
ROG HOME HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDY IKPONMWOSA OBASOHAN (PRESIDENT.)
(972) 557-8855
Entity
Organization
Contact information
Practice address
6340 ASHFORD TRL, MESQUITE, TX 75181-0001
(469) 703-5101
(972) 692-7086
Mailing address
6340 ASHFORD TRL, MESQUITE, TX 75181-0001
(469) 703-5101
(972) 692-7086
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001027005
—
TX
Enumeration date
11/10/2009
Last updated
04/17/2019
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