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Organization

BMX HOME CARE SERVICE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. BERTHA KAYE EZENAGU LVN (OWNER / LVN)
(214) 343-6776
Entity
Organization

Contact information

Practice address
10204 FOREST LANE, DALLAS, TX 75243
(214) 343-6776
(214) 343-6607
Mailing address
10204 FOREST LANE, DALLAS, TX 75243
(214) 343-6776
(214) 343-6607

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
525149
TX
164X00000X
Licensed Vocational Nurse
130816
TX
251E00000X
Home Health Agency
Primary
009354
TX

Other

Enumeration date
07/10/2006
Last updated
08/06/2007
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