ST NICHOLAS PROVIDER SERVICES INC
Agencies at Lake Jackson Dr, Arlington, TX

License number
Texas 010407
Category
Agencies
Type
Home Health
Owner
Name: MRS. OLUFESOLA M FASAKIN RN
Title: ADMINISTRATOR
Phone: (817) 468-9006
Address
Address
7008 Lake Jackson Dr, Arlington, TX 76002
National Provider ID: 1013934751
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about ST NICHOLAS PROVIDER SERVICES INC at bizstanding.com

St. Nicholas Provider Services Inc

7008 Lk Jackson Dr, Arlington, TX 76002

Registration:
Jan 25, 2006
State ID:
800603933
Business type:
Domestic For-Profit Corporation
Directors:
Ibraheem T. Fasakin (Director),Olufesola M. Fasakin (Director)

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