NPI 1003427238
Heritage Pride LLC
Practice location
- Address
- 4730 Fairmount St APT 4302, Dallas, TX 75219-1144
- Phone
- (682) 320-7070
Authorised official
- Name
- Ikponmwosa Eribo
- Title
- President/ Ceo
- Phone
- (682) 320-7070
Registered specialties
In Home Supportive Care Agency
Primary
Registry record
- NPI
- 1003427238
- Entity type
- Organization
- NPI issued
- 12 Aug 2020
- Record last updated
- 12 Aug 2020
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.