NPI 1003076340

Immaculate Home Care Services

Organisation Health Service Clinic/Center Grand Prairie, TX

Practice location

Address: 2304 Oak Ln Suite 13, Grand Prairie, TX 75051-8812
Phone: (972) 264-3000
Fax: (972) 264-5700

Authorised official

Name: Elizabeth Olufemi Ogungbire
Title: Owner
Phone: (972) 264-3000

Registered specialties

Health Service Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QH0100X

Other Clinic/Center providers in Texas →

Registry record

NPI: 1003076340
Entity type: Organization
NPI issued: 10 Jun 2008
Record last updated: 10 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.