Organization
RLGDIGNIFIEDLIVINGOFPLANO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LINAH JOKONYA (MANAGER)
(469) 786-1573
Entity
Organization
Contact information
Practice address
2816 TALLAHASSEE CT, PLANO, TX 75074-2040
(469) 786-1573
Mailing address
2816 TALLAHASSEE CT, PLANO, TX 75074-2040
(469) 786-1573
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8901
—
TX
Enumeration date
09/30/2015
Last updated
09/30/2015
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