# 1ST PRUDENTIAL HEALTH CARE SERVICES, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780723924
- **Authorized official:** NNE IBUM ELANGWE RN (ADMINISTRATOR)
- **Authorized official phone:** (682) 227-4630

## Contact information

- **Practice address:** 700 HIGHLANDER BLVD, \# 150, ARLINGTON, TX 76015-4330
- **Practice address phone:** (682) 227-4630
- **Practice address fax:** (214) 946-7337
- **Mailing address:** 700 HIGHLANDER BLVD, \# 150, ARLINGTON, TX 76015-4330
- **Mailing address phone:** (469) 726-2007
- **Mailing address fax:** (469) 726-2430

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 011502 | TX | Yes |

## Other

- **Enumeration date:** 02/05/2007
- **Last updated:** 12/20/2016