Organization
AVENTURA HOME HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLUSEGUN WILDE (CEO)
(817) 343-5642
Entity
Organization
Contact information
Practice address
409 ORCHARD HILL DR, SOUTHLAKE, TX 76092-2221
(817) 343-5642
Mailing address
409 ORCHARD HILL DR, SOUTHLAKE, TX 76092-2221
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/05/2011
Last updated
11/05/2011
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