NPI 1003649104
Providence Health Care Agency LLC
Practice location
- Address
- 2538 Bahama Dr APT 238, Dallas, TX 75211-2137
- Phone
- (214) 407-4242
Authorised official
- Name
- Quargnilde Ilekendi
- Title
- Member
- Phone
- (214) 407-4242
Registered specialties (2)
In Home Supportive Care Agency
Primary
Personal Care Attendant
Registry record
- NPI
- 1003649104
- Entity type
- Organization
- NPI issued
- 23 Aug 2024
- Record last updated
- 22 Jan 2025
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.