Organization
PROVIDENCE PERSONAL ASSISTANCE SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANCIS DEKU (PRESIDENT)
(817) 226-8759
Entity
Organization
Contact information
Practice address
6701 VICTORY CREST DR, ARLINGTON, TX 76002-3672
(817) 226-8759
(817) 226-8759
Mailing address
6701 VICTORY CREST DR, ARLINGTON, TX 76002-3672
(817) 226-8759
(817) 226-8759
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
00226
TX
253Z00000X
In Home Supportive Care Agency
08812
TX
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
01/26/2011
Last updated
08/29/2011
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