Organization
MY CHANGE IS COMING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUDRY CATRICE HAYDEN (PROGRAM MANAGER)
(214) 642-3146
Entity
Organization
Contact information
Practice address
319 BROOKWOOD DR, DUNCANVILLE, TX 75116-4504
(214) 642-3146
Mailing address
PO BOX 380297, DUNCANVILLE, TX 75138-0297
(214) 642-3146
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
02/01/2016
Last updated
02/01/2016
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