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Organization

ALIGN CARE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KRYSTLE BICKNELL WOMACK (OWNER/PROGRAM MANAGER)
(903) 521-1429
Entity
Organization

Contact information

Practice address
3630 GRANADA AVE, DALLAS, TX 75205-2014
(903) 521-1429
Mailing address
3630 GRANADA AVE, DALLAS, TX 75205-2014
(903) 521-1429

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
251B00000X
Case Management Agency
Primary
251C00000X
Developmentally Disabled Services Day Training Agency
251S00000X
Community/Behavioral Health Agency
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Other

Enumeration date
03/22/2019
Last updated
07/27/2022
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