Organization
BALI HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENDRA FANTROY (ADMINISTRATOR)
(214) 514-9497
Entity
Organization
Contact information
Practice address
1605 CHACON CANYON DR, DESOTO, TX 75115-7725
(214) 514-9497
Mailing address
PO BOX 2382, DESOTO, TX 75123-2382
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
07/14/2020
Last updated
07/14/2020
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