Organization
A MIDIAS HOME CARE LLC
Active
Other names
A MIDIAS HOME CARE LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MANGEB TONI BATOU (ADMINISTRATOR)
(469) 739-5173
Entity
Organization
Contact information
Practice address
1575 BOYLE PKWY, ALLEN, TX 75013-5803
(469) 739-5173
Mailing address
1575 BOYLE PKWY, ALLEN, TX 75013-5803
(469) 739-5173
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1061492290002
—
TX
Enumeration date
01/05/2022
Last updated
01/05/2022
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