Organization
PANORAMA CARE HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANA RICKETTS (ADMINISTRATOR)
(682) 336-1943
Entity
Organization
Contact information
Practice address
6403 LOTUS DR, ARLINGTON, TX 76001-7413
(682) 336-1943
Mailing address
6403 LOTUS DR, ARLINGTON, TX 76001-7413
(682) 336-1943
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
310400000X
Assisted Living Facility
Primary
—
—
311Z00000X
Custodial Care Facility
—
—
311ZA0620X
Adult Care Home Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
08/15/2022
Last updated
07/23/2024
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