Individual
MS. BINTA MAMBOH NGALLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1974 BISHOP HL, FRISCO, TX 75034-8765
(248) 798-7022
(214) 705-0068
Mailing address
1974 BISHOP HL, FRISCO, TX 75034-8765
(248) 798-7022
(214) 705-0068
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
385H00000X
Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
03/17/2010
Last updated
03/17/2010
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