Provider Demographics
NPI:1568693372
Name:RAY'S HEALTHCARE SERVICES
Entity Type:Organization
Organization Name:RAY'S HEALTHCARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:GAIUS
Authorized Official - Middle Name:BABILLA
Authorized Official - Last Name:FOMUSO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-567-3656
Mailing Address - Street 1:1222 MISTY DR
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:TX
Mailing Address - Zip Code:76065-5036
Mailing Address - Country:US
Mailing Address - Phone:972-567-3656
Mailing Address - Fax:972-775-8111
Practice Address - Street 1:1222 MISTY DR
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:TX
Practice Address - Zip Code:76065-5036
Practice Address - Country:US
Practice Address - Phone:972-567-3656
Practice Address - Fax:972-775-8111
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-29
Last Update Date:2009-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health