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NPI Code Detail

MEDICARE: ISOBERRY HOMEHEALTH CARE SERVICES, LLC

MEDICARE: ISOBERRY HOMEHEALTH CARE SERVICES, LLC
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
13747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1295207082
Entity Type Code : Organization
Provider Name (Legal Business Name) : ISOBERRY HOMEHEALTH CARE SERVICES, LLC
Provider Business Mailing Address
First Line : 4561 S WESTMORELAND RD
Second Line :
City : DALLAS
State : TX
Zip : 75237-1015
Country : US
Telephone Number : 214-404-6132
Fax Number : 855-880-9311
Provider Business Practice Location Address
First Line : 4561 S WESTMORELAND RD
Second Line :
City : DALLAS
State : TX
Zip : 75237-1015
Country : US
Telephone Number : 214-404-6132
Fax Number : 855-880-9311
Authorized Official
Title or Position : ADMINISTRATOR
Name : ISOKEN BERRY ENO
Credential :
Telephone Number : 214-404-6132
Provider Enumeration Date : 12/18/2018
Last Update Date : 05/22/2019

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Directions to “ISOBERRY HOMEHEALTH CARE SERVICES, LLC ” Practice Location

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