Organization
1ST MELLINIUM HOME HEALTH SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH FORMUSOH RN (ADMINISTRATOR)
(214) 946-1122
Entity
Organization
Contact information
Practice address
2730 N STEMMONS FWY STE 706, DALLAS, TX 75207-2205
(214) 946-1122
(214) 946-7337
Mailing address
2730 N STEMMONS FWY STE 706, DALLAS, TX 75207-2205
(214) 946-1122
(214) 946-7337
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
008405
TX
Other
Enumeration date
02/05/2007
Last updated
11/20/2009
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