Organization
CANNULIF HEALTHCARE SERVICES, INC
Active
Other names
Santa Maria Home Health Agency
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. YOUNG SOOK KANG RN (ADMINISTRATOR)
(214) 923-2009
Entity
Organization
Contact information
Practice address
11526 HARRY HINES BLVD STE 106C, DALLAS, TX 75229-8120
(214) 503-8941
(214) 503-8955
Mailing address
11526 HARRY HINES BLVD STE 106C, DALLAS, TX 75229-8120
(214) 503-8941
(214) 503-8955
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
NA
TX
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922280221
—
TX
Enumeration date
11/29/2007
Last updated
03/09/2026
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