Organization
AVAYA HOME HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARRYL HENDERSON (ADMINISTRATOR)
(214) 741-2216
Entity
Organization
Contact information
Practice address
2410 TAYLOR ST, SUITE 22419, DALLAS, TX 75201-8452
(214) 580-8271
Mailing address
2410 TAYLOR ST, SUITE 22419, DALLAS, TX 75201-8452
(214) 580-8271
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/21/2010
Last updated
10/20/2011
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