Organization
E S ALL STAR HOME HEALTH AGENCY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EMENIKE CHUKWUEMEKA OSONDU BS (ADMINISTRATOR)
(817) 268-2282
Entity
Organization
Contact information
Practice address
405 AIRPORT FWY, BEDFORD, TX 76021-5358
(817) 268-2282
(817) 268-2772
Mailing address
405 AIRPORT FWY, BEDFORD, TX 76021-5334
(817) 268-2282
(817) 268-2772
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
008259
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010041760
—
TX
Enumeration date
06/10/2006
Last updated
07/10/2009
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