Provider Demographics
NPI:1134456205
Name:DE-PAMA'S HOME HEALTH, INC
Entity type:Organization
Organization Name:DE-PAMA'S HOME HEALTH, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CYPRIAN
Authorized Official - Middle Name:ODY
Authorized Official - Last Name:AMAECHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-522-5788
Mailing Address - Street 1:2716 ATRIUM DR
Mailing Address - Street 2:
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75052-7015
Mailing Address - Country:US
Mailing Address - Phone:972-522-5788
Mailing Address - Fax:972-522-5788
Practice Address - Street 1:2716 ATRIUM DR
Practice Address - Street 2:
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75052-7015
Practice Address - Country:US
Practice Address - Phone:972-522-5788
Practice Address - Fax:972-522-5788
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-11
Last Update Date:2009-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health