| Credence Home And Community Services Llc | |
|
3103 Antelope Dr Mesquite TX 75181-3671 | |
| (214) 971-1584 | |
| Not Available |
| Full Name | Credence Home And Community Services Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3103 Antelope Dr, Mesquite, Texas |
| Authorized Official Name and Position | Aloysius Jingwa (RN, PROGRAM DIRECTOR) |
| Authorized Official Contact | 2149711584 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Credence Home And Community Services Llc 3103 Antelope Dr Mesquite TX 75181-3671 Ph: (214) 497-1158 | Credence Home And Community Services Llc 3103 Antelope Dr Mesquite TX 75181-3671 Ph: (214) 971-1584 |
| NPI Number | 1558996124 |
|---|---|
| Provider Enumeration Date | 03/04/2020 |
| Last Update Date | 03/04/2020 |
| Certification Date | 03/04/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558996124 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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