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Organization

GILS HOME HEALTH CARE SERVICES INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. IFEYINWA AGUKORONYE MA, RHIA (CFO /ALT. ADMINISTRATOR/OWNER)
(214) 703-0699
Entity
Organization

Contact information

Practice address
3960 BROADWAY BLVD, STE 109, GARLAND, TX 75043-2593
(214) 703-0699
(214) 703-6899
Mailing address
3960 BROADWAY BLVD, STE 109, GARLAND, TX 75043-2593
(214) 703-0699
(214) 703-6899

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
008934
TX
251J00000X
Nursing Care Agency

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001014059
PHC
TX
01
001014060
CBA
TX
01
001015463
CBA
TX
01
001026397
MDCP
TX
05
178668301
TX
Enumeration date
12/28/2005
Last updated
02/08/2019
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