Individual provider · NPI-1

Daniel Randle

Home Health · Cedar Hill, TX

NPI number1770039000
StatusActive
Last updated in NPPESJul 21, 2022

Details

NPI
1770039000
Entity type
Individual (NPI-1)
Name
Daniel Randle
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 28, 2016
Last updated
Jul 21, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251E00000X Home Health017944TXYes
374U00000X Home Health Aide017944TX

Practice location

1003 Parkway Terrace
Cedar Hill, TX 75104-4761

Phone 972-291-0805

Mailing address

1003 Parkway Terrace
Cedar Hill, TX 75104-4761

Phone 972-291-0805

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