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Organization
ELIJAH-YESHUA HOME HEALTHCARE LLC
Active
Organization
ELIJAH-YESHUA HOME HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EDITH L ODIWO RN (ADMINISTRATOR)
(817) 562-2615
Entity
Organization
Contact information
Practice address
10225 CANDLEWYCK ST, FORT WORTH, TX 76244-5038
(817) 562-2615
Mailing address
10225 CANDLEWYCK ST, FORT WORTH, TX 76244-5038
(817) 562-2615
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
251J00000X
Nursing Care Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
Other
Enumeration date
10/25/2012
Last updated
03/06/2014
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