Healthcare Provider Details

I. General information

NPI: 1083913578
Provider Name (Legal Business Name): ADF HOMECARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2011
Last Update Date: 02/28/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3989 SILVER MEADOW LN
GRAND PRAIRIE TX
75052-7141
US

IV. Provider business mailing address

3989 SILVER MEADOW LN
GRAND PRAIRIE TX
75052-7141
US

V. Phone/Fax

Practice location:
  • Phone: 972-602-7471
  • Fax: 972-641-1614
Mailing address:
  • Phone: 972-602-7471
  • Fax: 972-641-1614

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MS. GLADYS M KUTEYI
Title or Position: OWNER
Credential:
Phone: 972-602-7471