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NPI Code Detail

MEDICARE: OSGOOD HEALTHCARE SERVICES, INC

MEDICARE: OSGOOD HEALTHCARE 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
1251E00000XHome Health Agency673183TX

General Provider Information

NPI Number : 1609912906
Entity Type Code : Organization
Provider Name (Legal Business Name) : OSGOOD HEALTHCARE SERVICES, INC
Provider Business Mailing Address
First Line : 10935 ESTATE LN
Second Line : SUITE 268
City : DALLAS
State : TX
Zip : 75238-2316
Country : US
Telephone Number : 214-341-0449
Fax Number : 214-431-0654
Provider Business Practice Location Address
First Line : 10935 ESTATE LN
Second Line : SUITE 268
City : DALLAS
State : TX
Zip : 75238-2316
Country : US
Telephone Number : 214-341-0449
Fax Number : 214-431-0654
Authorized Official
Title or Position : ADMINISTRATOR
Name : EMILIA OBODO
Credential : RN
Telephone Number : 214-341-0449
Provider Enumeration Date : 01/30/2007
Last Update Date : 01/07/2010

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Directions to “OSGOOD HEALTHCARE SERVICES, INC ” Practice Location

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