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Organization
HEALING POOL HOME HEALTHCARE AGENCY
Active
Organization
HEALING POOL HOME HEALTHCARE AGENCY
Active
Other names
HEALING POOL
Organization subpart
No
Provider details
NPI number
Authorized official
REGINA EDAMWEN IYAWE RN (ADMINISTRATION)
(214) 440-7151
Entity
Organization
Contact information
Practice address
9696 SKILLMAN ST STE 200A, DALLAS, TX 75243-8264
(214) 440-7151
(844) 837-1906
Mailing address
9696 SKILLMAN ST STE 200A2-3, DALLAS, TX 75243-8264
(214) 440-7151
(844) 837-1906
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251G00000X
Community Based Hospice Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1396980132
—
TX
Enumeration date
02/05/2019
Last updated
07/07/2020
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