Organization
SUPPORT CARE AGENCY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONATUS EZENNIA (PRESIDENT)
(972) 898-4483
Entity
Organization
Contact information
Practice address
3214 CREEKSIDE DR, SACHSE, TX 75048-2365
(972) 898-4483
Mailing address
3214 CREEKSIDE DR, SACHSE, TX 75048-2365
(972) 898-4483
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/13/2016
Last updated
09/13/2016
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