Organization
1ST PRUDENTIAL HEALTH CARE SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NNE IBUM ELANGWE RN (ADMINISTRATOR)
(682) 227-4630
Entity
Organization
Contact information
Practice address
700 HIGHLANDER BLVD, # 150, ARLINGTON, TX 76015-4330
(682) 227-4630
(214) 946-7337
Mailing address
700 HIGHLANDER BLVD, # 150, ARLINGTON, TX 76015-4330
(469) 726-2007
(469) 726-2430
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
011502
TX
Other
Enumeration date
02/05/2007
Last updated
12/20/2016
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