Organization
CARTER HOME HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOUIS MANGONG (PRESIDENT)
(408) 449-0492
Entity
Organization
Contact information
Practice address
6202 BALCONY LN, DALLAS, TX 75241-5059
(408) 449-0492
Mailing address
6202 BALCONY LN, DALLAS, TX 75241-5059
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
06/10/2019
Last updated
06/10/2019
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