Healthcare Provider Details

I. General information

NPI: 1174556302
Provider Name (Legal Business Name): ABIDING HOME HEALTH OF DALLAS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8204 ELMBROOK DR #135
DALLAS TX
75247-4067
US

IV. Provider business mailing address

8204 ELMBROOK DR #135
DALLAS TX
75247-4067
US

V. Phone/Fax

Practice location:
  • Phone: 214-879-0803
  • Fax: 214-879-0828
Mailing address:
  • Phone: 214-879-0803
  • Fax: 214-879-0828

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number010443
License Number StateTX

VIII. Authorized Official

Name: MRS. PATRICIA Z LOPEZ
Title or Position: DIRECTOR OF BUSINESS
Credential:
Phone: 512-329-8622