Organization
INDEPENDENT CARE AGENCY
Active
Other names
FirstLight Home Care North Dallas
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE G JOHNSON RN (OWNER/ADMISTRATOR)
(815) 701-8389
Entity
Organization
Contact information
Practice address
888 S GREENVILLE AVE STE 207, RICHARDSON, TX 75081-5044
(815) 701-8389
Mailing address
322 CANYON VALLEY DR, RICHARDSON, TX 75080-1934
(815) 701-8389
(224) 206-8672
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
08/06/2019
Last updated
08/06/2019
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