Organization
PRINCIPAL HOMECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICK HILTON (MANAGING PARTNER)
(480) 292-2891
Entity
Organization
Contact information
Practice address
737 CARDINAL LANE, COPPELL, TX 75019
(972) 837-6599
(972) 755-6626
Mailing address
7112 BLACKWOOD DRIVE, DALLAS, TX 75231
(480) 292-2891
(972) 755-6626
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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