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Organization
CDS AT STATE CARE AGENCY LLC
Active
Organization
CDS AT STATE CARE AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAHNAZ SHAHBAZI (PRESIDENT/OWNER/MANAGING DIRECTOR)
(469) 955-4041
Entity
Organization
Contact information
Practice address
3201 DALLAS PKWY STE 200, FRISCO, TX 75034-9572
(469) 955-4041
(972) 335-3778
Mailing address
3201 DALLAS PKWY STE 200, FRISCO, TX 75034-9572
(469) 955-4041
(972) 335-3778
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
NULL
251E00000X
Home Health Agency
—
NULL
251J00000X
Nursing Care Agency
—
NULL
251X00000X
Supports Brokerage Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
372600000X
Adult Companion
—
NULL
372600000X
Adult Companion
—
—
3747A0650X
Attendant Care Provider
—
NULL
3747A0650X
Attendant Care Provider
—
—
374U00000X
Home Health Aide
—
NULL
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
NULL
376J00000X
Homemaker
—
—
Other
Enumeration date
10/18/2024
Last updated
01/03/2026
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