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Organization
NOAH HEALTHCARE, LLC
Active
Organization
NOAH HEALTHCARE, LLC
Active
Other names
FOUNTAIN HOME HEALTH
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CORINE OSUKOYA (ASST. ADMINISTRATOR)
(817) 274-1517
Entity
Organization
Contact information
Practice address
2008 E RANDOL MILL RD, SUITE #113, ARLINGTON, TX 76011-8205
(817) 274-1517
Mailing address
2008 E RANDOL MILL RD, SUITE #113, ARLINGTON, TX 76011-8205
(817) 274-1517
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
009024
TX
Other
Enumeration date
07/22/2011
Last updated
07/22/2011
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