Organization
DIGNIFIED HOMECARE FOR SENIORS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JESSE MITAMBO (ADMINISTRATOR)
(817) 891-0645
Entity
Organization
Contact information
Practice address
8701 BEDFORD EULESS RD STE 310, HURST, TX 76053-3804
(817) 891-0645
Mailing address
8701 BEDFORD EULESS RD STE 310, HURST, TX 76053-3804
(817) 891-0645
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
12/11/2018
Last updated
12/11/2018
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