Organization
ABI CARE HOME HEALTH, LLC
Active
Other names
Abicare Home Health, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
OLATUNBOSUN OLUSEGUN OSUKOYA (CEO/OWNER)
(972) 241-2419
Entity
Organization
Contact information
Practice address
2974 LBJ FWY, SUITE 401, DALLAS, TX 75234-7602
(972) 241-2419
Mailing address
2974 LBJ FWY, SUITE 401, DALLAS, TX 75234-7602
(972) 241-2419
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
004704
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000HH9268
BCBS
TX
05
—
024197801
—
TX
Enumeration date
06/27/2005
Last updated
04/03/2013
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