Organization
BEACON HOME HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK UKPAI AWA (ADMINISTRATOR)
(972) 223-0074
Entity
Organization
Contact information
Practice address
1000 NORA LN, DESOTO, TX 75115-5466
(972) 223-0074
(972) 223-9557
Mailing address
1000 NORA LN, DESOTO, TX 75115-5466
(972) 223-0074
(972) 223-9557
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
4983
TX
Other
Enumeration date
08/20/2006
Last updated
08/22/2020
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