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Organization

PEDIALIFE HOME HEALTH INC.

Active
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Organization

PEDIALIFE HOME HEALTH INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DEVELLE MARIE DEDRICK MSN, RN (PRESIDENT)
(817) 296-5938
Entity
Organization

Contact information

Practice address
5500 E LOOP 820 S, SUITE 207, FORT WORTH, TX 76119-6569
(817) 563-5433
(817) 563-5435
Mailing address
5500 E LOOP 820 S, SUITE 207, FORT WORTH, TX 76119-6569
(817) 563-5433
(817) 563-5435

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—

Other

Enumeration date
11/21/2011
Last updated
06/25/2012
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