Organization
NOAH RESIDENTIAL CARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADETOKUNBO O DOUGLAS (OWNER)
(972) 442-9268
Entity
Organization
Contact information
Practice address
3810 HARLAN DR, SACHSE, TX 75048-1912
(972) 442-9268
Mailing address
3810 HARLAN DR, SACHSE, TX 75048-1912
(972) 442-9268
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
TX
302F00000X
Exclusive Provider Organization
—
TX
Other
Enumeration date
11/28/2016
Last updated
12/12/2016
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