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Organization

ADELAIDE HOME HEALTH, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOHNSON JACOB (ADMINISTRATOR)
(972) 424-4024
Entity
Organization

Contact information

Practice address
2000 N CENTRAL EXPY, SUITE # 120, PLANO, TX 75074-8801
(972) 424-4024
(972) 424-2244
Mailing address
2000 N CENTRAL EXPY, SUITE # 120, PLANO, TX 75074-8801
(972) 424-4024
(972) 424-2244

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
010017
TX

Other

Enumeration date
03/31/2006
Last updated
12/14/2018
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