Organization
ADELAIDE HEALTHCARE GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACKSON JACOB (PRESIDENT)
(214) 755-9999
Entity
Organization
Contact information
Practice address
1123 WESTMINISTER AVE, MURPHY, TX 75094-4158
(214) 755-9999
(214) 227-7871
Mailing address
1123 WESTMINISTER AVE, MURPHY, TX 75094-4158
(214) 755-9999
(214) 227-7871
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
07/12/2011
Last updated
07/12/2011
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