Organization
ESSENTIAL CARE HOME HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH FREDERICK-O (PRESIDENT)
(408) 908-9079
Entity
Organization
Contact information
Practice address
6725 TAWNY OAK DR, PLANO, TX 75024-5507
(408) 908-9079
(469) 395-0409
Mailing address
6725 TAWNY OAK DR, PLANO, TX 75024-5507
(408) 908-9079
(469) 395-0409
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
802932494
SECRETARY OF STATE CERTIFICATE OF FILING
TX
Enumeration date
05/05/2021
Last updated
05/05/2021
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