Organization
ARK ABOVE HOME HEALTH AGENCY, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PEGGY RENEE CHANDLER (ADMINISTRATOR)
(214) 320-7200
Entity
Organization
Contact information
Practice address
5409 N JIM MILLER RD, SUITE 203B, DALLAS, TX 75227-1542
(214) 320-7200
(214) 320-7203
Mailing address
5409 N JIM MILLER RD, SUITE 203B, DALLAS, TX 75227-1542
(214) 320-7200
(214) 320-7203
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
012267
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012267
LICENSE
TX
Enumeration date
02/20/2008
Last updated
02/17/2012
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