Organization
MISTA CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANITA S. PHILIP-JOHNSON BS, BSN (CEO)
(781) 572-2722
Entity
Organization
Contact information
Practice address
6717 BEEMAN DR, PLANO, TX 75023-1803
(781) 572-2722
Mailing address
6717 BEEMAN DR, PLANO, TX 75023-1803
(781) 572-2722
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
24774401
TX
Other
Enumeration date
06/08/2007
Last updated
08/22/2020
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