Organization
BASIC HOMEHEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD O NYANKIRA (OWNER)
(214) 412-2192
Entity
Organization
Contact information
Practice address
2942 ALOUETTE DR, SUITE 523, GRAND PRAIRIE, TX 75052-8141
(214) 412-2192
(214) 412-2192
Mailing address
2942 ALOUETTE DR, SUITE 523, GRAND PRAIRIE, TX 75052-8141
(214) 412-2192
(214) 412-2192
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
09/15/2009
Last updated
09/15/2009
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