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Organization

MAISHA CARE AGENCY LLC

Active
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Organization

MAISHA CARE AGENCY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. PAULAH OKOMBO (OWNER)
(256) 412-9073
Entity
Organization

Contact information

Practice address
628 ANNAROSE DR, DALLAS, TX 75232-3142
(256) 412-9073
Mailing address
PO BOX 763711, DALLAS, TX 75376-3711
(256) 412-9073

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
251E00000X
Home Health Agency
Primary
—
—
3140N1450X
Pediatric Skilled Nursing Facility
—
—

Other

Enumeration date
05/01/2024
Last updated
05/01/2024
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