Organization
HIBISCUS RESIDENTIAL CARE AHAOMES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MONICA R MOCTAR (MANAGER)
(817) 719-3022
Entity
Organization
Contact information
Practice address
341 MCMURTRY DR, ARLINGTON, TX 76002-4481
(817) 719-3022
(817) 719-4128
Mailing address
341 MCMURTRY DR, ARLINGTON, TX 76002-4481
(817) 719-3022
(817) 719-4128
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
124051
TX
320800000X
Mental Illness Community Based Residential Treatment Facility
124051
TX
332BC3200X
Customized Equipment (DME)
124051
TX
343900000X
Non-emergency Medical Transport (VAN)
Primary
124051
TX
Other
Enumeration date
07/17/2008
Last updated
07/17/2008
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