Heart Light Pediatric Home Health Agency LLC
NPI #1972473312 in Richardson, Texas
Provider Information
- NPI Number
- 1972473312
- Entity Type
- Organization
- Organization Name
- Heart Light Pediatric Home Health Agency LLC
- Primary Specialty
- Home Health
- Enumeration Date
- Nov 10, 2025
- Last Updated
- Nov 13, 2025
Practice Location
- Address
- 4609 WINTER PARK DR
- City
- Richardson
- State
- Texas
- ZIP Code
- 75082-3856
- Phone
- (469) 636-4239
Authorized Official
- Name
- MARGELAINE CUSTODIO, BSN RN
- Title
- ADMINISTRATOR
- Phone
- (469) 636-4239
Specialties & Taxonomy Codes
| Specialty |
|---|
| Home Health |
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