ST NICHOLAS PROVIDER SERVICES INC

ARLINGTON, TX
NPI1013934751
Entity TypeOrganization
Authorized ContactOLUFESOLA M FASAKIN
Administrator
817-468-9006
Organization Subpart ?No
Primary Taxonomy251E00000X Home Health
(Licence: TX  010407)
Enumeration Date2006-07-17
Last Update Date2010-07-19
Business Address
ST NICHOLAS PROVIDER SERVICES INC
7008 LAKE JACKSON DR
ARLINGTON, TX 76002-4054
Phone number: 817-468-9006
Mailing Address
ST NICHOLAS PROVIDER SERVICES INC
7008 LAKE JACKSON DR
ARLINGTON, TX 76002-4054
Phone number: 817-468-9006
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