Healthcare Provider Details
I. General information
NPI: 1497277313
Provider Name (Legal Business Name): STABILITY HEALTHCARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/12/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1221 REEVES LN
CEDAR HILL TX
75104-7307
US
IV. Provider business mailing address
1221 REEVES LN
CEDAR HILL TX
75104-7307
US
V. Phone/Fax
- Phone: 214-228-3320
- Fax: 972-293-7075
- Phone: 214-228-3320
- Fax: 972-293-7075
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
EMMANUEL
ASHILONU
Title or Position: DIRECTOR / ADMINISTRATOR
Credential:
Phone: 214-228-3320