Prodigy Home Health & Hospice Care LLC

NPI #1720564743 in Fate, Texas

Provider Information

NPI Number: 1720564743
Entity Type: Organization
Organization Name: Prodigy Home Health & Hospice Care LLC
Primary Specialty: Home Health
Enumeration Date: Jul 12, 2018
Last Updated: Jul 12, 2018

Practice Location

Address: 793 BOSLEY
City: Fate
State: Texas
ZIP Code: 75087-0227
Phone: (408) 806-3840

Authorized Official

Name: WALTER AKWO, RN
Title: ADMINISTRATOR
Phone: (408) 806-3840

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X	Primary

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