Alice Place Health Care Services
Home Health in Grand Prairie, TX. Organization (NPI-2).
NPI number1679191779
StatusActive
Last updated in NPPESDec 22, 2021
Details
- NPI
- 1679191779
- Entity type
- Organization (NPI-2)
- Legal business name
- Alice Place Health Care Services
- Organization subpart
- No
- Enumeration date
- Jul 6, 2020
- Certification date
- Dec 13, 2021
- Last updated
- Dec 22, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | – | – | Yes |
| 363LF0000X | Nurse Practitioner, Family | – | – | |
| 363LP2300X | Nurse Practitioner, Primary Care | – | – |
Other names
- Alice Place Medical Care Services (Doing Business As)
Practice location
3333 Willouby DrGrand Prairie, TX 75052-6129
Phone 615-810-5983
Mailing address
2719 La Jolla BlvdGrand Prairie, TX 75054-0299
Phone 469-756-7021 · Fax 469-502-3622
Authorized official
Monnie Esther Adereti
Fnp
4697567021
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