Organization
TRUE VINE HEALTHCARE SERVICES INC.
Active
Other names
CJ PRIMARY HOME CARE
Organization subpart
No
Provider details
NPI number
Authorized official
JOY ISELOWO RN (ASSISTANT ADMINISTRATOR)
(214) 375-2323
Entity
Organization
Contact information
Practice address
1111 W ARKANSAS LN STE A, ARLINGTON, TX 76013-6376
(214) 375-2323
(214) 375-2411
Mailing address
1111 W ARKANSAS LN STE A, ARLINGTON, TX 76013-6376
(214) 375-2323
(214) 375-2411
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
010401
TX
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014784
—
TX
Enumeration date
01/13/2012
Last updated
01/10/2024
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