Organization
LILY CARE HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELELITA WOLDEMICHAEL (PROGRAM MANAGER)
(206) 353-6507
Entity
Organization
Contact information
Practice address
432 SPRING AIR DR, ALLEN, TX 75002-5318
(206) 353-6507
Mailing address
432 SPRING AIR DR, ALLEN, TX 75002-5318
(206) 353-6507
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/17/2025
Last updated
02/20/2025
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