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Organization
HERO CLINICAL LABATORY LLC
Active
Organization
HERO CLINICAL LABATORY LLC
Active
Other names
HERO HOME HEALTH CARE
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE PENNEGRAPH MEDICAL ASSISTANT (ADMINISTRATOR)
(945) 536-1396
Entity
Organization
Contact information
Practice address
2125 BIRCH BND, MESQUITE, TX 75181-1837
(214) 283-4573
Mailing address
2125 BIRCH BND, MESQUITE, TX 75181-1837
(214) 283-4573
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
291U00000X
Clinical Medical Laboratory
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
04/12/2024
Last updated
09/26/2024
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