Organization
CENTER MARK GROUP HOMES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARKEVIS ELMORE (OWNER)
(469) 321-5098
Entity
Organization
Contact information
Practice address
1707 N HALL ST APT 123, DALLAS, TX 75204-3917
(469) 321-5098
(469) 260-0908
Mailing address
1707 N HALL ST APT 123, DALLAS, TX 75204-3917
(469) 321-5098
(469) 260-0908
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
10/28/2021
Last updated
10/28/2021
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