Organization
1ST OMEGA HCS COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DETRICK DUFFEY (OWNER)
(903) 975-3776
Entity
Organization
Contact information
Practice address
3946 FM 1647, WINNSBORO, TX 75494-8776
(903) 975-3776
Mailing address
PO BOX 894, PITTSBURG, TX 75686-0894
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
10/30/2017
Last updated
06/20/2018
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