Provider Demographics
NPI:1285868448
Name:CORDIAL CARE HOME HEALTH SERVICES INC
Entity type:Organization
Organization Name:CORDIAL CARE HOME HEALTH SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:TITILOPE
Authorized Official - Middle Name:R
Authorized Official - Last Name:SALAAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-603-6676
Mailing Address - Street 1:10935 ESTATE LANE SUITE 182
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75238
Mailing Address - Country:US
Mailing Address - Phone:972-603-6676
Mailing Address - Fax:972-456-9910
Practice Address - Street 1:10935 ESTATE LANE SUITE 182
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75238
Practice Address - Country:US
Practice Address - Phone:972-603-6676
Practice Address - Fax:214-377-9919
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-04
Last Update Date:2022-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health