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Organization
AT MY VILLAGE HOME HEALTH CARE
Active
Organization
AT MY VILLAGE HOME HEALTH CARE
Active
Parent organization
AT MY VILLAGE HOME HEALTH CARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
AT MY VILLAGE HOME HEALTH CARE
Authorized official
MR. SAMSON DUMISANI MAHLORI (CEO)
(203) 819-9957
Entity
Organization
Contact information
Practice address
2424 POINCIANA LN, DALLAS, TX 75212
(203) 819-9957
Mailing address
2424 POINCIANA LN, DALLAS, TX 75212
(203) 819-9957
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
NULL
372600000X
Adult Companion
Primary
—
—
374U00000X
Home Health Aide
—
NULL
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
NULL
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
—
NULL
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
11/12/2019
Last updated
11/12/2019
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