Organization
1ST DFW COMMUNITY CONNECTION INC.
Active
Other names
Community Connection Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
TRAVIS ASKEW (ADMINISTRATOR)
(972) 224-9911
Entity
Organization
Contact information
Practice address
1615 OSPREY DR, SUITE 101, DESOTO, TX 75115-2427
(972) 224-9911
(972) 224-9012
Mailing address
1615 OSPREY DR, SUITE 101, DESOTO, TX 75115-2427
(972) 224-9911
(972) 224-9012
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
012992
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001017910
DADS
TX
05
—
217988901
—
TX
01
—
679360
MEDICARE
TX
Enumeration date
08/27/2009
Last updated
03/08/2013
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