Organization
AVE MARIA HOME CARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KOJO ANEBO (ADMINISTRATOR)
(214) 868-3659
Entity
Organization
Contact information
Practice address
1723 CARRIAGE CREEK DR, DESOTO, TX 75115-3675
(214) 875-6961
(972) 780-5579
Mailing address
1723 CARRIAGE CREEK DR, DESOTO, TX 75115-3675
(214) 875-6961
(972) 780-5579
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
10/06/2017
Last updated
10/06/2017
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