Organization
NELSON INNOVATIONS HOME CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NELSON IFEANYI ENUDI BSC (ADMINISTRATOR)
(682) 320-6774
Entity
Organization
Contact information
Practice address
11601 AUDELIA RD APT 132, DALLAS, TX 75243-5645
(682) 320-6774
Mailing address
11601 AUDELIA RD APT 132, DALLAS, TX 75243-5645
(682) 320-6774
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
—
—
Other
Enumeration date
03/11/2025
Last updated
03/11/2025
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