Dera Healthcare System Inc.

NPI #1902196546 in Desoto, Texas

Provider Information

NPI Number: 1902196546
Entity Type: Organization
Organization Name: Dera Healthcare System Inc.
Primary Specialty: Home Health
Enumeration Date: Apr 16, 2011
Last Updated: Apr 16, 2011

Practice Location

Address: 628 SNAPDRAGON LN
City: Desoto
State: Texas
ZIP Code: 75115-6658
Phone: (972) 223-9955

Authorized Official

Name: MRS. IFEOMA LOUISA UZOMAH
Title: ADMINISTRATOR AND OWNER
Phone: (972) 223-9955

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X	Primary

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