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Organization
IMMACULATE HEALTHCARE SERVICES INC
Active
Organization
IMMACULATE HEALTHCARE SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. OLARINRE ABOSEDE AJAYI REGISTERED NURSE (OWNER)
(972) 602-2008
Entity
Organization
Contact information
Practice address
4923 STEEPLE CHASE COURT, GRAND PRAIRIE, TX 75052
(972) 602-2008
(972) 602-3509
Mailing address
4923 STEEPLE CHASE COURT, GRAND PRAIRIE, TX 75052
(972) 602-2008
(972) 602-3509
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
010573
TX
Other
Enumeration date
07/29/2006
Last updated
01/06/2012
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