# SUPPORT CARE AGENCY INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073061594
- **Authorized official:** MR. DONATUS EZENNIA (PRESIDENT)
- **Authorized official phone:** (972) 898-4483

## Contact information

- **Practice address:** 3214 CREEKSIDE DR, SACHSE, TX 75048-2365
- **Practice address phone:** (972) 898-4483
- **Mailing address:** 3214 CREEKSIDE DR, SACHSE, TX 75048-2365
- **Mailing address phone:** (972) 898-4483

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 09/13/2016
- **Last updated:** 09/13/2016