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Organization
JAKPA HEALTHCARE INC
Active
Organization
JAKPA HEALTHCARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. OFIORITSE AGBONTAEN (ADMINISTATOR)
(214) 222-3100
Entity
Organization
Contact information
Practice address
401 MISTY LN, LEWISVILLE, TX 75067-6253
(214) 222-3100
(214) 222-3103
Mailing address
285 W SOUTHWEST PKWY, LEWISVILLE, TX 75067-7770
(214) 222-3100
(214) 222-3103
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
Primary
008874
TX
253Z00000X
In Home Supportive Care Agency
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001013165
MDCP
TX
05
—
001013166
—
TX
05
—
001013167
—
TX
Enumeration date
11/30/2006
Last updated
12/18/2024
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