Organization
ABENEZA HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOTHAM MUGABE (PROGRAM MANAGER)
(512) 400-5238
Entity
Organization
Contact information
Practice address
18513 SPOTTED EAGLE WAY, ELGIN, TX 78621-2438
(512) 400-5238
Mailing address
18513 SPOTTED EAGLE WAY, ELGIN, TX 78621-2438
(512) 400-5238
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
09/13/2023
Last updated
04/22/2026
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