Organization
PNB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEDRA DARDEN HHSC (OWNER)
(469) 921-8292
Entity
Organization
Contact information
Practice address
9319 HAVENCOVE DR, DALLAS, TX 75227-8107
(469) 921-8292
Mailing address
9319 HAVENCOVE DR OFC, DALLAS, TX 75227-8107
(469) 921-8292
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
332U00000X
Home Delivered Meals
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
01/20/2026
Last updated
01/20/2026
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