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Organization

ADALIGHT HOME HEALTH LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHRIS IHEANYI NWANERI (ADMINISTRATOR)
(972) 926-4558
Entity
Organization

Contact information

Practice address
3200 BROADWAY BLVD STE 274, GARLAND, TX 75043-1577
(972) 926-4558
(972) 926-4919
Mailing address
3200 BROADWAY BLVD STE 274, GARLAND, TX 75043-1577
(972) 926-4558
(972) 926-4919

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
005253
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001007029
TX
05
001007824
TX
05
001007825
TX
05
001012470
TX
05
001012748
TX
05
001016434
TX
Enumeration date
07/06/2006
Last updated
04/30/2012
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