Organization
WILCARE DALLAS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDY HAI PHAM CEO (ADMINISTRATOR)
(817) 277-0210
Entity
Organization
Contact information
Practice address
624 MATLOCK CENTRE CIR. # A, ARLINGTON, TX 76015-6409
(817) 277-0210
(817) 277-1208
Mailing address
624 MATLOCK CENTRE CIR # A, ARLINGTON, TX 76015-2536
(817) 277-0210
(817) 277-1208
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
009253
TX
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001004408
—
TX
05
—
001014285
—
TX
Enumeration date
01/30/2007
Last updated
06/12/2024
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