Ebenezer Solace Care LLC
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in McKinney, TX. Organization (NPI-2).
NPI number1649015330
StatusActive
Last updated in NPPESJun 26, 2024
Details
- NPI
- 1649015330
- Entity type
- Organization (NPI-2)
- Legal business name
- Ebenezer Solace Care LLC
- Organization subpart
- No
- Enumeration date
- Jun 26, 2024
- Certification date
- Jun 17, 2024
- Last updated
- Jun 26, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | Yes |
Other names
- Ebenezer Solace Homes (Doing Business As)
Practice location
2105 Summit DrMcKinney, TX 75071
Phone 915-328-2378
Mailing address
5121 Collin McKinney Pkwy Ste 500McKinney, TX 75070-1524
Phone 915-328-2378
Authorized official
Ajibola Afolabi
Owner
9153282378
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