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NPI 1104038033 · Nursing Care Agency · Irving, TX
Provider details
- NPI number
- 1104038033
- Entity type
- Organization
- Primary specialty
- Nursing Care AgencyAgencies
- Organization subpart
- No
- Authorized official
- Soheila Sotoodeh, P.T.(972) 257-0773
- License
- 176768 (TX)
Specialties & taxonomies
Agencies
Practice location
2440 Keyhole St
Irving, TX 75062
Phone: (972) 257-0773
Approximate (ZIP-level) locationGet directions
Mailing address
2440 Keyhole St
Irving, TX 75062
Registry dates
- Enumerated
- 2007-05-04
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.