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Organization
PALOMA HOME HEALTH AGENCY INC.
Active
Organization
PALOMA HOME HEALTH AGENCY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NICODEMUS ODHIAMBO OBUYA RN (ADMINISTRATOR)
(972) 346-2013
Entity
Organization
Contact information
Practice address
13601 PRESTON RD, SUITE 225E, DALLAS, TX 75240-4911
(972) 346-2013
(972) 853-7085
Mailing address
PO BOX 700694, DALLAS, TX 75370-0694
(972) 346-2013
(972) 853-7085
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
012184
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012184
TEXAS STATE LICENSE
TX
Enumeration date
06/02/2008
Last updated
10/13/2016
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