Organization
RESTORATIVE HOME CARE & CASE MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SONNIA B OLIVA DR.P.H. (ADMINISTRATOR)
(214) 476-7399
Entity
Organization
Contact information
Practice address
923 W JEFFERSON BLVD, DALLAS, TX 75208-5050
(214) 476-7399
(314) 856-1554
Mailing address
5416 COLUMBIA AVE, DALLAS, TX 75214-5120
(214) 476-7399
(314) 856-1554
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
00095658
TX
Other
Enumeration date
07/12/2006
Last updated
07/31/2007
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