Organization
AZZA PROVIDER SERVICES INC
Active
Other names
AZZA Home HealthCare Agency
Organization subpart
No
Provider details
NPI number
Authorized official
AGATHA OKOJIE (ADMINISTRATOR)
(817) 703-8652
Entity
Organization
Contact information
Practice address
6501 NICOLE WAY, ARLINGTON, TX 76002-2988
(817) 703-8652
(817) 467-2533
Mailing address
6501 NICOLE WAY, ARLINGTON, TX 76002-2988
(817) 703-8652
(817) 467-2533
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
010848
TX
251J00000X
Nursing Care Agency
—
—
3747P1801X
Personal Care Attendant
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
11/29/2006
Last updated
06/12/2024
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