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Organization

ADONIA PROVIDER HOME CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
THOMAS JEFFERSON (OWNER)
(469) 313-3098
Entity
Organization

Contact information

Practice address
11615 FOREST CENTRAL DR STE 210, DALLAS, TX 75243-3815
(469) 313-3098
(972) 452-9060
Mailing address
11615 FOREST CENTRAL DR STE 210, DALLAS, TX 75243-3815
(469) 313-3098
(972) 452-9060

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
3747A0650X
Attendant Care Provider
3747P1801X
Personal Care Attendant

Other

Enumeration date
01/07/2021
Last updated
10/30/2025
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