Organization
ACOM HEALTHCARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ADEBUKOLA OBASANYA RN (DIRECTOR OF NURSING)
(972) 302-4683
Entity
Organization
Contact information
Practice address
5900 S LAKE FOREST DR STE 300, MCKINNEY, TX 75070-2238
(972) 595-7233
(972) 984-7896
Mailing address
5900 S LAKE FOREST DR STE 300, MCKINNEY, TX 75070-2238
(972) 595-7233
(972) 984-7896
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
802709721
HOME HEALTHCARE AND ASSISTED LIVING
TX
Enumeration date
05/11/2017
Last updated
10/02/2024
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