MEDICARE: 1 SERVICE FOR ALL

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	253Z00000X	In Home Supportive Care Agency	21096852	TX

General Provider Information

NPI Number	:	1891230785
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	1 SERVICE FOR ALL

Provider Business Mailing Address
First Line	:	2806 METROPOLITAN AVE
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75215-3554
Country	:	US
Telephone Number	:	214-457-4937
Fax Number	:

Provider Business Practice Location Address
First Line	:	2806 METROPOLITAN AVE
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75215-3554
Country	:	US
Telephone Number	:	214-457-4937
Fax Number	:

Authorized Official
Title or Position	:	CO-OWNER
Name	:	FRANCHESKA DIOR WRIGHT
Credential	:
Telephone Number	:	214-457-4937

Provider Enumeration Date	:	12/30/2016
Last Update Date	:	12/30/2016

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