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Organization
PRESTONWOOD HOME HEALTHCARE LLC
Active
Organization
PRESTONWOOD HOME HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CELESTINA OGBOLUGO (PRESIDENT/ADMINISTRATOR)
(469) 757-4217
Entity
Organization
Contact information
Practice address
134 E CHURCH ST, GRAND PRAIRIE, TX 75050-5713
(469) 757-4217
(972) 745-2390
Mailing address
134 E CHURCH ST, GRAND PRAIRIE, TX 75050-5713
(469) 757-4217
(972) 745-2390
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
—
—
251E00000X
Home Health Agency
Primary
015044
TX
251J00000X
Nursing Care Agency
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
293993601
—
TX
Enumeration date
04/26/2012
Last updated
08/01/2025
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