MEDICARE: MAL & MAL HOME HEALTH 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
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1740130459
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAL & MAL HOME HEALTH LLC

Provider Business Mailing Address
First Line	:	3528 PECOS WAY
Second Line	:
City	:	GRAND PRAIRIE
State	:	TX
Zip	:	75052-7850
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3528 PECOS WAY
Second Line	:
City	:	GRAND PRAIRIE
State	:	TX
Zip	:	75052-7850
Country	:	US
Telephone Number	:	817-683-9660
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	EUPHEMIA MOSE
Credential	:
Telephone Number	:	817-683-9660

Provider Enumeration Date	:	02/02/2026
Last Update Date	:	02/02/2026

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