Organization
SPLENDOR HILLS INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EDOLO O AZENABOR (ADMINISTRATOR)
(972) 262-6400
Entity
Organization
Contact information
Practice address
2306 OAK LN STE 206, GRAND PRAIRIE, TX 75051-8270
(972) 262-6400
(972) 262-6544
Mailing address
2306 OAK LN STE 206, GRAND PRAIRIE, TX 75051-8270
(972) 262-6400
(972) 262-6544
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
06/11/2007
Last updated
01/19/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up