Organization
ADVOCATE HEALTHCARE LLC
Active
Other names
BrightWing Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE CHILDS (PRESIDENT)
(214) 497-0917
Entity
Organization
Contact information
Practice address
1312 GRIGSBY AVE, DALLAS, TX 75204-6873
(214) 449-1450
(214) 449-1416
Mailing address
1312 GRIGSBY AVE, DALLAS, TX 75204-6873
(214) 449-1450
(214) 449-1416
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
014774
TX
Other
Enumeration date
12/08/2011
Last updated
09/13/2013
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