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Organization
ICARE SERVICES, INC.
Active
Organization
ICARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUDDY ENRIQUEZ (CEO)
(469) 449-9999
Entity
Organization
Contact information
Practice address
5103 BRADFORD DR, DALLAS, TX 75235-8310
(469) 449-9999
(469) 449-9999
Mailing address
5103 BRADFORD DR, DALLAS, TX 75235-8310
(469) 449-9999
(469) 449-9999
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
305S00000X
Point of Service
—
NULL
Other
Enumeration date
02/02/2012
Last updated
12/18/2024
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