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Organization

ALYS-ADELE CONGLOMERATE LLC

Active
Other names
Experience Home Care
Organization subpart
No

Provider details

NPI number
Authorized official
STACY ADEYINKA (OWNER/ ADMINISTRATOR)
(469) 724-5523
Entity
Organization

Contact information

Practice address
3319 SANTA TERESA AVE, DALLAS, TX 75228-3405
(469) 724-5523
Mailing address
3319 SANTA TERESA AVE, DALLAS, TX 75228-3405
(469) 724-5523

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Enumeration date
08/21/2020
Last updated
08/21/2020
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