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Bertha Ezenagu
Home Health Agency in Dallas, Texas
NPI 1023257003

Bertha Ezenagu is a Home Health Agency based in Dallas, TX. Bertha Ezenagu practices in Dallas, TX. The NPI Number for Bertha Ezenagu is 1023257003 and holds a License No. 009354 (Texas).

The current practice location address for Bertha Ezenagu is 9304 Forest Ln, Dallas, TX and can be reached out via phone at 214-341-2490 and via fax at 214-341-2492.

Location: 9304 Forest Ln, Dallas, TX, 75243-6238
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1023257003
Provider Name
Bertha Ezenagu
Credential
Provider Entity Type
Organization
Address
9304 Forest Ln, Dallas, TX, 75243-6238
Phone Number
214-341-2490
Fax Number
214-341-2492
Provider Enumeration Date
02/13/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
9304 Forest Ln
City
Dallas
State
Texas
Zip
75243-6238
Phone Number
214-341-2490
Fax Number
214-341-2492
person
Provider Business Mailing Address Details
Address
9304 Forest Ln
City
Dallas
State
Texas
Zip
75243-6238
Phone Number
214-341-2490
Fax Number
214-341-2492
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
009354 (Texas)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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