Organization
ALIVE AND WELL HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOLIE UZAMUKUNDA NGENDAHAYO (PROGRAM MANAGER)
(325) 320-5492
Entity
Organization
Contact information
Practice address
810 FLAT WATER DR, ABILENE, TX 79602-7052
(325) 320-5492
Mailing address
810 FLAT WATER DR, ABILENE, TX 79602-7052
(325) 320-5492
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/15/2023
Last updated
02/15/2023
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