At Home Senior Care24 LLC
In Home Supportive Care in Irving, TX. Organization (NPI-2).
NPI number1417523291
StatusActive
Last updated in NPPESJun 2, 2021
Details
- NPI
- 1417523291
- Entity type
- Organization (NPI-2)
- Legal business name
- At Home Senior Care24 LLC
- Organization subpart
- No
- Enumeration date
- Jun 2, 2021
- Certification date
- Jun 2, 2021
- Last updated
- Jun 2, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
| 3747P1801X | Technician, Personal Care Attendant | – | – |
Other names
- At Home Senior Care (Doing Business As)
Practice location
4007 Block Dr Apt 2126Irving, TX 75038-4625
Phone 773-956-2267
Mailing address
4007 Block Dr Apt 2126Irving, TX 75038-4625
Phone 773-956-2267
Authorized official
Paul Asonganyi
Owner/President
7739562267
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