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Organization
AETNA HOME HEALTH CARE AND MANAGEMENT LLC
Active
Organization
AETNA HOME HEALTH CARE AND MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATIENCE AKPANDEM (OWNER)
(682) 381-9632
Entity
Organization
Contact information
Practice address
12989 JUPITER RD STE 103, DALLAS, TX 75238-5248
(682) 381-9632
(682) 316-0058
Mailing address
12989 JUPITER RD STE 103, DALLAS, TX 75238-5248
(682) 381-9632
(682) 316-0058
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
3747A0650X
Attendant Care Provider
—
NULL
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
—
NULL
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
03/15/2021
Last updated
01/18/2023
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