Organization
DIRECT CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SADAM MASHAIKH (OWNER)
(414) 236-8786
Entity
Organization
Contact information
Practice address
201 GREENVALE DR, MANSFIELD, TX 76063-5559
(414) 236-8786
Mailing address
201 GREENVALE DR, MANSFIELD, TX 76063-5559
(414) 236-8786
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
03/04/2022
Last updated
03/04/2022
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