Autumn Wells, LLC
Case Management in Grand Prairie, TX. Organization (NPI-2).
NPI number1922878990
StatusActive
Last updated in NPPESJan 2, 2024
Details
- NPI
- 1922878990
- Entity type
- Organization (NPI-2)
- Legal business name
- Autumn Wells, LLC
- Organization subpart
- No
- Enumeration date
- Jan 2, 2024
- Certification date
- Dec 28, 2023
- Last updated
- Jan 2, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251B00000X | Case Management | – | – | Yes |
Practice location
7028 Orion DriveGrand Prairie, TX 75054
Phone 307-253-9308 · Fax 307-215-5521
Mailing address
7028 Orion DrGrand Prairie, TX 75054-7247
Phone 307-253-9308 · Fax 307-215-5521
Authorized official
Autumn Wells
Owner
3072539308
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