- Enrollment id
- O20101029000984
- Enrollment state
- TX
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1326274978
- Multiple npi flag
- N
- Ccn
- 747641
- Associate id
- 7416141825
- Organization name
- OUR SAVIOUR HEALTHCARE SERVICES INC
- Doing business as name
- GERTRUDE AKANNA
- Incorporation date
- 2009-11-03
- Incorporation state
- TX
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 9550 SKILLMAN ST
- Address line 2
- STE 330
- City
- DALLAS
- State
- TX
- Zip code
- 752438261