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Organization

PASSIONATE HOUSE GROUP HOME LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GEORGELINE OMODELE (OWNER)
(682) 559-6647
Entity
Organization

Contact information

Practice address
2306 BENNINGTON DR, ARLINGTON, TX 76018-1914
(682) 559-6647
Mailing address
2306 BENNINGTON DR, ARLINGTON, TX 76018-1914

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
TX

Other

Enumeration date
02/15/2016
Last updated
02/15/2016
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