Organization
A BETTER CHOICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. WANDA JEAN JOHNSON (FINANCIAL OFFICER)
(214) 563-1087
Entity
Organization
Contact information
Practice address
2634 MAGNA VISTA DR, DALLAS, TX 75216-8103
(214) 563-1087
(214) 596-9529
Mailing address
2634 MAGNA VISTA DR, DALLAS, TX 75216-8103
(214) 563-1087
(214) 596-9529
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
253J00000X
Foster Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
385H00000X
Respite Care
Primary
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
04/10/2014
Last updated
05/09/2014
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