Organization
KYLIE'S ADULT DAYCARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NGOZI TILLEY (ADMINISTRATOR)
(214) 742-9407
Entity
Organization
Contact information
Practice address
3939 US HIGHWAY 80 E, 305, MESQUITE, TX 75150-3359
(972) 805-6674
(972) 698-0844
Mailing address
4593 MOUNTAIN LAUREL DR, GRAND PRAIRIE, TX 75052-2903
(972) 805-6674
(972) 698-0488
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
12/12/2014
Last updated
02/10/2015
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