Organization
1ST ABLECARE HEALTHCARE SERVICES, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLINE ODOEMENA R.N., D.O.N., C.E.O. (DIRECTOR OF NURSES, CHIEF FINANCIAL)
(817) 477-2529
Entity
Organization
Contact information
Practice address
1475 HERITAGE PKWY, SUITE 325, MANSFIELD, TX 76063-2735
(817) 477-2529
(817) 477-3132
Mailing address
1475 HERITAGE PKWY, SUITE 325, MANSFIELD, TX 76063-2735
(817) 477-2529
(817) 477-3132
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
009037
TX
251E00000X
Home Health Agency
Primary
012031
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009037
STATE LICENSE
—
01
—
012031
STATE LICENSE NUMBER
—
Enumeration date
11/26/2007
Last updated
01/06/2012
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