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Organization

CROWNDESEA HOME HEALTH CARE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SAMSON ADEWOLE ADEDOKUN (CHIEF EXECUTIVE OFFICER)
(972) 298-7030
Entity
Organization

Contact information

Practice address
1322 SAN MIGUEL DR, DUNCANVILLE, TX 75137-3073
(972) 298-7030
(972) 298-7180
Mailing address
1322 SAN MIGUEL DR, DUNCANVILLE, TX 75137-3073
(972) 298-7030
(972) 298-7180

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
014245
TX

Other

Enumeration date
09/21/2009
Last updated
12/23/2012
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