Organization
IMIAH LLC
Active
Other names
Independent mentally ill adult housing
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SAPRINA DOVELL WINB (OWNER)
(469) 236-4913
Entity
Organization
Contact information
Practice address
7520 MARIETTA LN, DALLAS, TX 75241-4422
(469) 236-4913
(972) 224-0088
Mailing address
1855 WINDSOR DR, LANCASTER, TX 75134-4148
(469) 236-4913
(972) 224-0088
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
—
—
Other
Enumeration date
12/29/2015
Last updated
12/03/2020
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