Organization
MICASASHALOM ASSISTED CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHYLLIS ASIBOR BSN.RN.CALM.CCM (PRESIDENT/ADMINISTRATOR)
(469) 398-9544
Entity
Organization
Contact information
Practice address
11312 CULBERSON DR, AUBREY, TX 76227-8050
(469) 398-9544
Mailing address
11312 CULBERSON DR, AUBREY, TX 76227-8050
(469) 398-9544
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
09/09/2025
Last updated
09/18/2025
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