Organization
DOMINION HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABIODUN GLORIA IRABOR-MUSA (OWNER)
(214) 778-9052
Entity
Organization
Contact information
Practice address
3106 CENTENNIAL DR, GARLAND, TX 75042-5501
(214) 778-9052
Mailing address
3035 BROOKSHIRE DR, PLANO, TX 75075-7645
(214) 778-9052
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000
00000
—
Enumeration date
09/17/2018
Last updated
09/17/2018
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