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Organization
HOME CARE ETC
Active
Organization
HOME CARE ETC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK OMORAGBON (ADMINISTRATOR)
(972) 974-6141
Entity
Organization
Contact information
Practice address
2110 HILLSIDE DR, SUITE 200, ROWLETT, TX 75088-1514
(972) 974-6141
(469) 366-3520
Mailing address
PO BOX 2150, ROWLETT, TX 75030-2150
(214) 415-7369
(469) 366-3520
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
010877
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010877
HOME CARE LICENSE
TX
Enumeration date
11/06/2006
Last updated
10/13/2009
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