Organization
JACY'S HOME HEALTHCARE PLUS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER IYIAKIMO OKAFOR MBA, FINANCE (CHIEF FINANCIAL OFFICER)
(214) 350-6660
Entity
Organization
Contact information
Practice address
2639 WALNUT HILL LANE, SUITE 232, DALLAS, TX 75229
(214) 350-6660
(214) 350-6662
Mailing address
2639 WALNUT HILL LANE, SUITE 232, DALLAS, TX 75229
(214) 350-6660
(214) 350-6662
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
008565
TX
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001014274
—
TX
Enumeration date
11/17/2006
Last updated
06/12/2024
Update your record
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