1house Of Micah | |
600 Woodbridge Pkwy Unit 2133 Wylie TX 75098-7047 | |
(469) 478-7106 | |
Not Available |
Full Name | 1house Of Micah |
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Speciality | Custodial Care Facility - Adult Care Home |
Location | 600 Woodbridge Pkwy, Wylie, Texas |
Authorized Official Name and Position | Jamila Gilliam (OWNER) |
Authorized Official Contact | 4694787106 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1house Of Micah 600 Woodbridge Pkwy Unit 2133 Wylie TX 75098-7047 Ph: (469) 478-7106 | 1house Of Micah 600 Woodbridge Pkwy Unit 2133 Wylie TX 75098-7047 Ph: (469) 478-7106 |
NPI Number | 1104219096 |
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Provider Enumeration Date | 03/17/2015 |
Last Update Date | 03/17/2015 |
Identifier | Type | State | Issuer |
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1104219096 | NPI | - | NPPES |
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