Organization
CREDENCE HOME AND COMMUNITY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALOYSIUS JINGWA (RN, PROGRAM DIRECTOR)
(214) 971-1584
Entity
Organization
Contact information
Practice address
3103 ANTELOPE DR, MESQUITE, TX 75181-3671
(214) 971-1584
Mailing address
3103 ANTELOPE DR, MESQUITE, TX 75181-3671
(214) 497-1158
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/04/2020
Last updated
03/04/2020
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