Organization
LIVING HOMECARE INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLAJUMOKE AJOKE OYEDIRAN LVN (ADMINISTRATOR)
(817) 773-8289
Entity
Organization
Contact information
Practice address
5712 VALLEY STREAM WAY, FORT WORTH, TX 76244-5185
(817) 773-8289
Mailing address
5712 VALLEY STREAM WAY, FORT WORTH, TX 76244-5185
(817) 773-8289
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
01/17/2024
Last updated
01/17/2024
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