Organization
CARESOURCE HOME HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAM C OKUDAH (DIRECTOR)
(972) 408-3535
Entity
Organization
Contact information
Practice address
525 W WESTCHESTER PKWY, #525, GRAND PRAIRIE, TX 75052-2824
(972) 408-3535
Mailing address
525 W WESTCHESTER PKWY, #525, GRAND PRAIRIE, TX 75052-2824
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
TX
Other
Enumeration date
09/19/2011
Last updated
09/19/2011
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