Organization
THEO ADEOYE
Active
Other names
PARADISE HOME HEALTH AGENCY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THEO ADEOYE SR. (ADMINISTRATOR)
(817) 368-4524
Entity
Organization
Contact information
Practice address
917 HEMS LN, ARLINGTON, TX 76001-5922
(817) 368-4524
(817) 468-0735
Mailing address
917 HEMS LN, ARLINGTON, TX 76001-5922
(817) 368-4524
(817) 468-0735
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
011345
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011345
STATE LICENSE NUMBER
TX
Enumeration date
07/15/2009
Last updated
07/15/2009
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