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Aetna Home Care & Management INC

Home Health in Dallas, TX. Organization (NPI-2).

NPI number1174069017
StatusActive
Last updated in NPPESJul 7, 2023

Details

NPI
1174069017
Entity type
Organization (NPI-2)
Legal business name
Aetna Home Care & Management INC
Organization subpart
No
Enumeration date
Jan 17, 2017
Certification date
Jul 7, 2023
Last updated
Jul 7, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251E00000X Home Health–TXYes
3747A0650X Technician, Attendant Care Provider––
3747P1801X Technician, Personal Care Attendant––

Practice location

12989 Jupiter Rd Ste 104
Dallas, TX 75238-5248

Phone 682-381-9632 · Fax 682-316-0058

Mailing address

12989 Jupiter Rd Ste 104
Dallas, TX 75238-5248

Phone 682-381-9632 · Fax 682-316-0058

Authorized official

Patience Akpandem
Owner
6823819632

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