Organization · NPI-2
1st Mellinium Home Health Services INC
Home Health · Dallas, TX
NPI number1154460301
StatusActive
Last updated in NPPESNov 20, 2009
Details
- NPI
- 1154460301
- Entity type
- Organization (NPI-2)
- Legal business name
- 1st Mellinium Home Health Services INC
- Organization subpart
- No
- Enumeration date
- Feb 5, 2007
- Last updated
- Nov 20, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | 008405 | TX | Yes |
Practice location
2730 N Stemmons Fwy Ste 706Dallas, TX 75207-2205
Phone 214-946-1122 · Fax 214-946-7337
Mailing address
2730 N Stemmons Fwy Ste 706Dallas, TX 75207-2205
Phone 214-946-1122 · Fax 214-946-7337
Authorized official
Joseph Formusoh
Administrator
2149461122
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