Organization
FARMINGTON PLACE HEALTH CARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEHINDE OLUGBOLAHAN OGUNDIPE (CEO)
(214) 544-0180
Entity
Organization
Contact information
Practice address
901 N MCDONALD ST STE 504, MCKINNEY, TX 75069-2166
(214) 544-0180
(214) 544-0064
Mailing address
3104 NORMANDY DR, MCKINNEY, TX 75070-4733
(214) 544-0180
(214) 544-0064
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
008681
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163833001
—
TX
01
—
9059
HOME HEALTH LICENSE #2
TX
Enumeration date
08/30/2006
Last updated
12/26/2007
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