Organization
ROCKWALL PROVIDENCE CARE INC
Active
Other names
Executive Home Care of Northeast Dallas and Flower Mound Texas
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN BURGESS (OWNER)
(469) 431-1498
Entity
Organization
Contact information
Practice address
110 E GREENHILL LN STE 324, ROCKWALL, TX 75087-3006
(469) 314-6465
Mailing address
110 E GREENHILL LN STE 324, ROCKWALL, TX 75087-3006
(469) 314-6465
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
11/06/2025
Last updated
11/06/2025
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