MEDICARE: N & D HEALTHCARE 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
1	251E00000X	Home Health Agency		TX

General Provider Information

NPI Number	:	1689926883
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	N & D HEALTHCARE INC

Provider Business Mailing Address
First Line	:	2603 ARCADIA RIDGE LN
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77449-7113
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2603 ARCADIA RIDGE LN
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77449-7113
Country	:	US
Telephone Number	:	832-368-0607
Fax Number	:	281-578-3920

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	DESMOND AGBONDINMWIN
Credential	:
Telephone Number	:	832-368-0607

Provider Enumeration Date	:	10/11/2012
Last Update Date	:	10/11/2012

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