Provider Demographics
NPI:1710085386
Name:REBECCA MWONGA DBA INTEGRITY HOME HEALTH CARE SERVICES
Entity Type:Organization
Organization Name:REBECCA MWONGA DBA INTEGRITY HOME HEALTH CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:A
Authorized Official - Last Name:MWONGA
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:817-803-5884
Mailing Address - Street 1:1118 CAVALCADE DR
Mailing Address - Street 2:
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75052-7126
Mailing Address - Country:US
Mailing Address - Phone:817-803-5884
Mailing Address - Fax:469-520-5801
Practice Address - Street 1:1118 CAVALCADE DR
Practice Address - Street 2:
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75052
Practice Address - Country:US
Practice Address - Phone:817-803-5884
Practice Address - Fax:469-520-5801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2018-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No163WC1500XNursing Service ProvidersRegistered NurseCommunity HealthGroup - Single Specialty