Provider Demographics
NPI:1235420290
Name:DORAC HEARTS HOME HEALTHCARE AND TRAINING SERVICES
Entity Type:Organization
Organization Name:DORAC HEARTS HOME HEALTHCARE AND TRAINING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF NURSING
Authorized Official - Prefix:
Authorized Official - First Name:DORIS
Authorized Official - Middle Name:
Authorized Official - Last Name:BANGURA
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:817-285-6488
Mailing Address - Street 1:732 W HURST BLVD
Mailing Address - Street 2:SUIT 110
Mailing Address - City:HURST
Mailing Address - State:TX
Mailing Address - Zip Code:76053-7622
Mailing Address - Country:US
Mailing Address - Phone:817-690-5032
Mailing Address - Fax:
Practice Address - Street 1:732 W HURST BLVD
Practice Address - Street 2:SUIT 110
Practice Address - City:HURST
Practice Address - State:TX
Practice Address - Zip Code:76053-7622
Practice Address - Country:US
Practice Address - Phone:817-285-6488
Practice Address - Fax:817-285-6499
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-26
Last Update Date:2011-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health