Organization
BANGOT HEALTH CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE FONGOD (PRESIDENT)
(404) 520-4515
Entity
Organization
Contact information
Practice address
2828 W PARKER RD, SUITE B203B, PLANO, TX 75075-9153
(404) 520-4515
Mailing address
2828 W PARKER RD, SUITE B203B, PLANO, TX 75075-9153
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
05/24/2011
Last updated
05/24/2011
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