Organization
DESTINY BASE HOME HEALTH SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FELIX OGBEIDE (ADMINISTRATOR)
(214) 777-2391
Entity
Organization
Contact information
Practice address
329 OAKS TRL, SUITE 200, GARLAND, TX 75043-4092
(214) 777-2391
(972) 203-0020
Mailing address
329 OAKS TRL, SUITE 200, GARLAND, TX 75043-4092
(214) 777-2391
(972) 203-0020
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
010833
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010833
HOME CARE LICENSE
TX
Enumeration date
11/23/2009
Last updated
11/23/2009
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