Organization
ANEEKO RAPHA HEALTHCARE SERVICES LLC
Active
Organization
ANEEKO RAPHA HEALTHCARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELVIN OSAMUYI FRANK IDEHEN (OWNER)
(323) 202-3679
Entity
Organization
Contact information
Practice address
9700 WALNUT COVE DR, FORT WORTH, TX 76108-2233
(682) 228-9234
Mailing address
9700 WALNUT COVE DR, FORT WORTH, TX 76108-2233
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
3747A0650X
Attendant Care Provider
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
11/06/2023
Last updated
11/06/2023
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