Provider Demographics
NPI:1730326497
Name:PRINCESS HOME HEALTH CARE INC
Entity type:Organization
Organization Name:PRINCESS HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:STELLA
Authorized Official - Middle Name:O
Authorized Official - Last Name:OGUNDIPE
Authorized Official - Suffix:
Authorized Official - Credentials:NURSE
Authorized Official - Phone:817-966-8467
Mailing Address - Street 1:2358 WALDEN PLACE CT
Mailing Address - Street 2:
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75052-7822
Mailing Address - Country:US
Mailing Address - Phone:817-966-8467
Mailing Address - Fax:817-299-8145
Practice Address - Street 1:2358 WALDEN PLACE CT
Practice Address - Street 2:
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75052-7822
Practice Address - Country:US
Practice Address - Phone:817-966-8467
Practice Address - Fax:817-299-8145
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-15
Last Update Date:2014-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health