Organization · NPI-2

1st Prudential Health Care Services, INC

Home Health · Arlington, TX

NPI number1780723924
StatusActive
Last updated in NPPESDec 20, 2016

Details

NPI
1780723924
Entity type
Organization (NPI-2)
Legal business name
1st Prudential Health Care Services, INC
Organization subpart
No
Enumeration date
Feb 5, 2007
Last updated
Dec 20, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251E00000X Home Health011502TXYes

Practice location

700 Highlander Blvd
# 150
Arlington, TX 76015-4330

Phone 682-227-4630 · Fax 214-946-7337

Mailing address

700 Highlander Blvd
# 150
Arlington, TX 76015-4330

Phone 469-726-2007 · Fax 469-726-2430

Authorized official

Nne Ibum Elangwe
Administrator
6822274630

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