Organization
FLOWER MOUND HOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OSARU IYAMU LVN (ADMINISTRATOR)
(469) 583-6218
Entity
Organization
Contact information
Practice address
4100 MORRISS RD APT 225, FLOWER MOUND, TX 75028-1841
(469) 583-6218
Mailing address
4100 MORRISS RD APT 225, FLOWER MOUND, TX 75028-1841
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
015227
TX
Other
Enumeration date
07/04/2012
Last updated
02/12/2013
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