Proline 121 LLC
Home Health in Garland, TX. Organization (NPI-2).
NPI number1164047478
StatusActive
Last updated in NPPESJun 11, 2020
Details
- NPI
- 1164047478
- Entity type
- Organization (NPI-2)
- Legal business name
- Proline 121 LLC
- Organization subpart
- No
- Enumeration date
- Jun 11, 2020
- Certification date
- Jun 11, 2020
- Last updated
- Jun 11, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | – | – | Yes |
| 251J00000X | Nursing Care | – | – | |
| 253Z00000X | In Home Supportive Care | – | – |
Practice location
3702 Dandridge CirGarland, TX 75040-3506
Phone 469-337-7622
Mailing address
3702 Dandridge CirGarland, TX 75040-3506
Phone 469-337-7622
Authorized official
Peecee Charuma
Administrator
4693377622
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