Organization
PULL-UP A VETERANS HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIYORI T PULLEN LMSW (SOLE MEMBER)
(254) 652-0304
Entity
Organization
Contact information
Practice address
7012 ESCONDIDO DR, ARLINGTON, TX 76016-5422
(254) 652-0304
Mailing address
6803 IJAZ DR, ARLINGTON, TX 76017-4977
(254) 652-0304
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
12/29/2016
Last updated
08/22/2023
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