Organization
STONECREST MEDICAL AND REHAB. CENTER, DBA CLASSIC HOMEHEALTH AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JADE U IRONDI (ALT ADMINISTRATOR/CFO)
(972) 274-1205
Entity
Organization
Contact information
Practice address
405 SUMMERTREE LN, DESOTO, TX 75115-5840
(972) 274-1205
(469) 643-6404
Mailing address
405 SUMMERTREE LN, DESOTO, TX 75115-5840
(972) 274-1205
(469) 643-6404
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
010430
TX
Other
Enumeration date
07/19/2006
Last updated
08/22/2020
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