NPI 1134697030

A Service With Respect

Organisation In Home Supportive Care Agency Grand Prairie, TX

Practice location

Address: 2080 N Hwy 360 STE 220, Grand Prairie, TX 75050-1451
Phone: (817) 919-1603
Fax: (682) 252-7137
Mailing address: 2412 Jefferson Court Ln APT 1630, Arlington, TX 76006-4247

Authorised official

Name: Tahirah Samuels
Title: Owner/Program Director
Phone: (817) 919-1603

Registered specialties

In Home Supportive Care Agency Primary

Agencies Taxonomy 253Z00000X

Other In Home Supportive Care providers in Texas →

Registry record

NPI: 1134697030
Entity type: Organization
NPI issued: 8 Nov 2018
Record last updated: 8 Nov 2018

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.