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
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