Organization
AT HOME SENIOR CARE24 LLC
Active
Other names
AT HOME SENIOR CARE
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL ASONGANYI (OWNER/PRESIDENT)
(773) 956-2267
Entity
Organization
Contact information
Practice address
4007 BLOCK DR APT 2126, IRVING, TX 75038-4625
(773) 956-2267
Mailing address
4007 BLOCK DR APT 2126, IRVING, TX 75038-4625
(773) 956-2267
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
06/02/2021
Last updated
06/02/2021
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