Organization
MCKINNEY DIRECT CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVELYN JOHNSON (CEO)
(214) 856-5552
Entity
Organization
Contact information
Practice address
1871 HARROUN AVE STE 100, MCKINNEY, TX 75069-3469
(214) 856-5552
(903) 200-0271
Mailing address
2300 W WHITE AVE STE 104, MCKINNEY, TX 75071-3133
(214) 856-5552
(903) 200-0271
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
320700000X
Physical Disabilities Residential Treatment Facility
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154782662
—
TX
Enumeration date
03/10/2016
Last updated
04/03/2024
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