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Organization
HEART LIGHT PEDIATRIC HOME HEALTH AGENCY LLC
Active
Organization
HEART LIGHT PEDIATRIC HOME HEALTH AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARGELAINE CUSTODIO BSN RN (ADMINISTRATOR)
(469) 636-4239
Entity
Organization
Contact information
Practice address
4609 WINTER PARK DR, RICHARDSON, TX 75082-3856
(469) 722-5302
(469) 838-6957
Mailing address
4609 WINTER PARK DR, RICHARDSON, TX 75082-3856
(469) 722-5302
(469) 838-6957
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/10/2025
Last updated
04/23/2026
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