Organization
DEGAURDIAN HEALTH AGENCY, INC
Active
Parent organization
DEGUARDIAN HEALTH AGENCY, INC
Other names
Degaurdian Health Agency, Inc
Organization subpart
Yes
Provider details
NPI number
Legal business name
DEGUARDIAN HEALTH AGENCY, INC
Authorized official
IFEOMA NWOKOCHA (ADMINISTRATOR)
(469) 688-3631
Entity
Organization
Contact information
Practice address
1507 LONESOME DOVE TRL, WYLIE, TX 75098-7983
(469) 688-3631
(469) 298-0395
Mailing address
1507 LONESOME DOVE TRL, WYLIE, TX 75098-7983
(469) 688-3631
(469) 298-0395
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
015361
TX
251E00000X
Home Health Agency
—
TX
Other
Enumeration date
08/08/2012
Last updated
11/06/2013
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