Organization
GENCARE HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUE IKOMI (PRESIDENT)
(214) 882-8439
Entity
Organization
Contact information
Practice address
8620 SECRET FOREST DR, DALLAS, TX 75249-4022
(214) 882-8439
Mailing address
8620 SECRET FOREST DR, DALLAS, TX 75249-4022
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
06/22/2020
Last updated
06/22/2020
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