Provider Demographics
NPI:1881817682
Name:DESTINED HEALTHCARE SERVICES, INC.
Entity Type:Organization
Organization Name:DESTINED HEALTHCARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:CHIDINMA
Authorized Official - Last Name:ABIODUN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:972-222-0979
Mailing Address - Street 1:2020 CANTURA DR
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75181-4649
Mailing Address - Country:US
Mailing Address - Phone:469-226-4427
Mailing Address - Fax:972-222-1753
Practice Address - Street 1:2020 CANTURA DR
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75181-4649
Practice Address - Country:US
Practice Address - Phone:469-226-4427
Practice Address - Fax:972-222-1753
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-10
Last Update Date:2007-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health