Organization
PTHOMESERVICEOFDALLASINC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARB GARDETTO LMSWIPR (ADMINISTRATOR)
(214) 678-0507
Entity
Organization
Contact information
Practice address
8200 BROOKRIVER DR STE N503, DALLAS, TX 75247-4037
(214) 678-0507
Mailing address
8200 BROOKRIVER DR STE N503, DALLAS, TX 75247-4037
(214) 678-0507
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
16787
TX
Other
Enumeration date
09/17/2008
Last updated
09/17/2008
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