Organization
HAZEL'S HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HAZEL GRADY (ADMINISTRATOR)
(214) 372-2054
Entity
Organization
Contact information
Practice address
533 HIGHFALL DR, DALLAS, TX 75232-3609
(214) 372-2054
(214) 374-7721
Mailing address
533 HIGHFALL DR, DALLAS, TX 75232-3609
(214) 372-2054
(214) 374-7721
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
114571
TX
Other
Enumeration date
12/21/2006
Last updated
10/04/2011
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