Organization
COMPANION RESIDENTIAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILIANA NTWINA MANDARI (ADMINSTRATOR)
(214) 868-5151
Entity
Organization
Contact information
Practice address
1001 BUSINESS PKWY, RICHARDSON, TX 75081-5024
(214) 868-5151
(214) 275-7663
Mailing address
237 DARTMOUTH DR, ROCKWALL, TX 75032-4621
(214) 868-5151
(214) 275-7663
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
11/05/2012
Last updated
02/04/2013
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