Provider Demographics
NPI:1285975920
Name:AXEL HEALTHCARE INC
Entity type:Organization
Organization Name:AXEL HEALTHCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:
Authorized Official - Last Name:DEKU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-226-8759
Mailing Address - Street 1:PO BOX 182526
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76096-2526
Mailing Address - Country:US
Mailing Address - Phone:817-226-8759
Mailing Address - Fax:
Practice Address - Street 1:8150 BROOKRIVER DR STE 303
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75247-4055
Practice Address - Country:US
Practice Address - Phone:817-226-8759
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-05
Last Update Date:2013-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty