Aetna Home Health Care And Management LLC
Home Health in Dallas, TX. Organization (NPI-2).
NPI number1790360360
StatusActive
Last updated in NPPESJan 18, 2023
Details
- NPI
- 1790360360
- Entity type
- Organization (NPI-2)
- Legal business name
- Aetna Home Health Care And Management LLC
- Organization subpart
- No
- Enumeration date
- Mar 15, 2021
- Certification date
- Jan 18, 2023
- Last updated
- Jan 18, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | – | – | Yes |
| 3747A0650X | Technician, Attendant Care Provider | – | – | |
| 3747P1801X | Technician, Personal Care Attendant | – | – |
Practice location
12989 Jupiter Rd Ste 103Dallas, TX 75238-5248
Phone 682-381-9632 · Fax 682-316-0058
Mailing address
12989 Jupiter Rd Ste 103Dallas, TX 75238-5248
Phone 682-381-9632 · Fax 682-316-0058
Authorized official
Patience Akpandem
Owner
6823819632
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