Organization
LAKEVIEW PRIMARY HOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY E NWEDO (ADMINISTRATOR)
(214) 900-5323
Entity
Organization
Contact information
Practice address
9304 FOREST LN STE N254, DALLAS, TX 75243
(214) 900-5323
(214) 594-7421
Mailing address
9304 FOREST LN STE N254, DALLAS, TX 75243-6238
(214) 900-5323
(972) 807-9186
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
3747P1801X
Personal Care Attendant
Primary
015565
TX
Other
Enumeration date
01/28/2013
Last updated
09/01/2018
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