# EL SHADAI HEALTHCARE SERVICES LLC

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

## Provider details

- **NPI number:** 1538464813
- **Authorized official:** OLUSOLA ADEREMI AKINGBADE RN (ADMINISTRATOR/DON)
- **Authorized official phone:** (972) 801-8511

## Contact information

- **Practice address:** 2904 SHANNON LN, GRAND PRAIRIE, TX 75052-8010
- **Practice address phone:** (972) 801-8511
- **Practice address fax:** (972) 352-5116
- **Mailing address:** 2904 SHANNON LN, GRAND PRAIRIE, TX 75052-8010
- **Mailing address phone:** (972) 801-8511
- **Mailing address fax:** (972) 352-5116

## Taxonomy

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

## Other

- **Enumeration date:** 01/19/2011
- **Last updated:** 01/19/2011