Organization
PT HOME SERVICES OF DALLAS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LORIGAY LASKIN (CONTRACT MANAGER)
(718) 468-4747
Entity
Organization
Contact information
Practice address
8200 BROOKRIVER DR, # N503, DALLAS, TX 75247-4069
(214) 678-0507
(214) 678-0766
Mailing address
22215 NORTHERN BLVD, 3RD FLOOR, BAYSIDE, NY 11361-3603
(718) 468-4747
(718) 264-5834
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
066014403
—
TX
Enumeration date
04/19/2007
Last updated
08/18/2008
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