Organization
DESTINY YOUTH EMPOWERMENT PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL O ANOZIE (PROGRAM ADMINISTRATOR)
(832) 881-2800
Entity
Organization
Contact information
Practice address
623 MERCURY AVE, DUNCANVILLE, TX 75137-2235
(832) 881-2800
(972) 283-6661
Mailing address
623 MERCURY AVE, DUNCANVILLE, TX 75137-2235
(832) 881-2800
(972) 283-6661
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
04/21/2017
Last updated
04/21/2017
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