Organization
SPRING OF LIFE HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CLEMENCIA MABUYA (ADMINISTRATOR)
(469) 215-1140
Entity
Organization
Contact information
Practice address
3700 MAPLESHADE LN APT 2072, PLANO, TX 75075-6013
(469) 215-1140
Mailing address
3700 MAPLESHADE LN APT 2072, PLANO, TX 75075-6013
(469) 215-1140
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
09/03/2018
Last updated
09/03/2018
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