NPI Index

1HOUSE OF MICAH

Custodial Care Facility - Adult Care Home

Active Organization
NPI: 1104219096

Practice Address

600 WOODBRIDGE PKWY
UNIT 2133
Wylie, TX 75098

Phone: (469) 478-7106

Specialties

Specialty Code Primary License
Social Worker 104100000X No 56214 (TX)
Day Training, Developmentally Disabled Services 251C00000X No -
Custodial Care Facility 311Z00000X No -
Residential Treatment Facility, Intellectual and/or Developmental Disabilities 320600000X No -
Residential Treatment Facility, Physical Disabilities 320700000X No -
Community Based Residential Treatment Facility, Mental Illness 320800000X No -
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities 320900000X No -
Custodial Care Facility - Adult Care Home 311ZA0620X Yes -

Frequently Asked Questions

NPI 1104219096 is the National Provider Identifier for 1HOUSE OF MICAH, a Custodial Care Facility - Adult Care Home provider located in Wylie, TX. This NPI was enumerated on March 17, 2015.

Quick Facts

NPI
1104219096
Type
Organization
Enumerated
Mar 17, 2015
Last Updated
Mar 17, 2015

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