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NPI Code Detail

MEDICARE: AZZA PROVIDER SERVICES INC

MEDICARE: AZZA PROVIDER SERVICES INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251J00000XNursing Care Agency
23747P1801XPersonal Care Attendant
3385H00000XRespite Care
4251E00000XHome Health Agency010848TX

General Provider Information

NPI Number : 1174690143
Entity Type Code : Organization
Provider Name (Legal Business Name) : AZZA PROVIDER SERVICES INC
Provider Business Mailing Address
First Line : 6501 NICOLE WAY
Second Line :
City : ARLINGTON
State : TX
Zip : 76002-2988
Country : US
Telephone Number : 817-703-8652
Fax Number : 817-467-2533
Provider Business Practice Location Address
First Line : 6501 NICOLE WAY
Second Line :
City : ARLINGTON
State : TX
Zip : 76002-2988
Country : US
Telephone Number : 817-703-8652
Fax Number : 817-467-2533
Authorized Official
Title or Position : ADMINISTRATOR
Name : AGATHA OKOJIE
Credential :
Telephone Number : 817-703-8652
Provider Enumeration Date : 11/29/2006
Last Update Date : 06/12/2024

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Directions to “AZZA PROVIDER SERVICES INC ” Practice Location

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