Organization
ALLY HOME HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY LAVA FAJARDO RN (DIRECTOR OF CLINICAL SERVICES)
(214) 363-2559
Entity
Organization
Contact information
Practice address
5430 GLEN LAKES DR, SUITE 260, DALLAS, TX 75231-4362
(214) 363-2559
(866) 540-1396
Mailing address
5430 GLEN LAKES DR, SUITE 260, DALLAS, TX 75231-4362
(214) 363-2559
(866) 540-1396
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
12/08/2013
Last updated
12/08/2013
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