Organization
THE KINDRED ADVANTAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LYNN M CLARK RPH (EXECUTIVE DIRECTOR)
(972) 998-6901
Entity
Organization
Contact information
Practice address
411 BREEZEWAY CT, CEDAR HILL, TX 75104-6734
(972) 504-4074
(469) 575-4522
Mailing address
3424 S COCKRELL HILL RD, DALLAS, TX 75236-1112
(972) 998-6901
Taxonomy
Speciality
Code
Description
License number
State
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
02/28/2025
Last updated
05/21/2025
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