Provider Demographics
NPI:1336452101
Name:GIODERK HOME HEALTH INC
Entity Type:Organization
Organization Name:GIODERK HOME HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:EMMANUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ONYIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-603-2038
Mailing Address - Street 1:3439 BELLVILLE DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75228-5679
Mailing Address - Country:US
Mailing Address - Phone:214-603-2038
Mailing Address - Fax:214-321-0019
Practice Address - Street 1:3439 BELLVILLE DR
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75228-5679
Practice Address - Country:US
Practice Address - Phone:214-603-2038
Practice Address - Fax:214-321-0019
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-21
Last Update Date:2010-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health