Organization · NPI-2

Aglow Hospice Care Services, LLC

Registered Nurse, Hospice · Plano, TX

NPI number1679169064
StatusActive
Last updated in NPPESDec 19, 2020

Details

NPI
1679169064
Entity type
Organization (NPI-2)
Legal business name
Aglow Hospice Care Services, LLC
Organization subpart
No
Enumeration date
Dec 19, 2020
Certification date
Dec 18, 2020
Last updated
Dec 19, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WH1000X Registered Nurse, Hospice––Yes

Practice location

8016 Stonehill Dr
Plano, TX 75025-2564

Phone 469-702-1948

Mailing address

8016 Stonehill Dr
Plano, TX 75025-2564

Authorized official

Charles Ebere Okpara
NP
6029098026

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