Organization
COLLABORATIVE HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANSHA GARDNER (OWNER)
(318) 548-6143
Entity
Organization
Contact information
Practice address
3613 FRANKFORD RD APT 538, DALLAS, TX 75287-6141
(318) 548-6143
Mailing address
3613 FRANKFORD RD APT 538, DALLAS, TX 75287-6141
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
05/05/2020
Last updated
05/05/2020
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