Organization
EIS FAMILY A38
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JINHO KIM (EXECUTIVE DIRECTOR)
(972) 697-5962
Entity
Organization
Contact information
Practice address
3918 OLD DENTON RD, CARROLLTON, TX 75007-1018
(972) 697-5962
Mailing address
PO BOX 116427, CARROLLTON, TX 75011-6427
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/10/2024
Last updated
06/30/2025
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