Organization
C & D PEDIATRIC HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLAUDIA HIPOLITO (DIRECTOR)
(693) 636-5344
Entity
Organization
Contact information
Practice address
1708 TIGRIS TRL, MESQUITE, TX 75181-1572
(469) 363-6534
(972) 584-1708
Mailing address
1708 TIGRIS TRL, MESQUITE, TX 75181-1572
(469) 363-6534
(972) 584-1708
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251F00000X
Home Infusion Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4693636534
—
TX
Enumeration date
07/29/2021
Last updated
07/29/2021
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