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Fred Waithaka Kioni
Home Health Agency in Dallas, Texas
NPI 1972701142

Fred Waithaka Kioni is a Home Health Agency based in Dallas, TX. Fred Waithaka Kioni practices in Dallas, TX. The NPI Number for Fred Waithaka Kioni is 1972701142 and holds a License No. 011187 (Texas).

The current practice location address for Fred Waithaka Kioni is 4121 Marvin D Love Fwy, Dallas, TX and can be reached out via phone at 972-709-7702 and via fax at 972-709-7708.

Location: 4121 Marvin D Love Fwy, Dallas, TX, 75240-5773
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972701142
Provider Name
Fred Waithaka Kioni
Credential
Provider Entity Type
Individual
Gender
Male
Address
4121 Marvin D Love Fwy, Dallas, TX, 75240-5773
Phone Number
972-709-7702
Fax Number
972-709-7708
Provider Enumeration Date
07/10/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4121 Marvin D Love Fwy
City
Dallas
State
Texas
Zip
75224-4800
Phone Number
972-709-7702
Fax Number
972-709-7708
person
Provider Business Mailing Address Details
Address
4121 Marvin D Love Fwy
City
Dallas
State
Texas
Zip
75224-4800
Phone Number
972-709-7702
Fax Number
972-709-7708
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
011187 (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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