| NPI | 1558982751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEWANDA OWENS Administrator 972-589-2549 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251B00000X Case Management |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251T00000X Program of All-Inclusive Care for the Elderly (PACE) Provider Organization | |
| 261QA0600X Clinic/Center Adult Day Care | |
| 261QR0800X Clinic/Center Recovery Care | |
| 385H00000X Respite Care | |
| 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities | |
| 385HR2065X Respite Care Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2020-04-29 |
| Last Update Date | 2020-12-10 |