Organization
AETNA HOME HEALTH CARE AND MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATIENCE AKPANDEM (OWNER)
(682) 381-9632
Entity
Organization
Contact information
Practice address
12989 JUPITER RD STE 103, DALLAS, TX 75238-5248
(682) 381-9632
(682) 316-0058
Mailing address
12989 JUPITER RD STE 103, DALLAS, TX 75238-5248
(682) 381-9632
(682) 316-0058
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
423277901
—
TX
Enumeration date
03/15/2021
Last updated
01/18/2023
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