Organization
OMNI SENIOR CARE SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGINA FOMENKY (ADMINISTRATION)
(904) 536-1467
Entity
Organization
Contact information
Practice address
4412 ASHBURY LN, MANSFIELD, TX 76063-6702
(904) 536-1467
Mailing address
3540 E BROAD ST # 141, MANSFIELD, TX 76063-5633
(904) 536-1467
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
06/24/2020
Last updated
06/24/2020
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