Organization
FAB 4 ALLIANCE LLC
Active
Other names
Reliant Home Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
MISS VICTORIA PADUA RN (ADMINISTRATOR)
(214) 240-3367
Entity
Organization
Contact information
Practice address
1120 N GALLOWAY AVE, MESQUITE, TX 75149-2436
(972) 288-3800
(972) 288-3802
Mailing address
1120 N GALLOWAY AVE, MESQUITE, TX 75149-2436
(972) 288-3800
(972) 288-3802
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
011244
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011244
TX- DADS HCSSA LICENCE
TX
Enumeration date
10/02/2007
Last updated
11/10/2014
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