| NPI | 1225232671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDOLO O AZENABOR Administrator 972-262-6400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 251C00000X | |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2022-01-19 |