Provider Demographics
NPI:1679725444
Name:RO PRIORITY HOME HEALTH AGENCY, INC
Entity type:Organization
Organization Name:RO PRIORITY HOME HEALTH AGENCY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROSE-MARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ONWUMERE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:972-285-7977
Mailing Address - Street 1:2930 COUNTRY CIR
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75181-2137
Mailing Address - Country:US
Mailing Address - Phone:972-285-7977
Mailing Address - Fax:972-329-6848
Practice Address - Street 1:2930 COUNTRY CIR
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75181-2137
Practice Address - Country:US
Practice Address - Phone:972-285-7977
Practice Address - Fax:972-329-6848
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-10
Last Update Date:2008-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX442662251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health