IMPALA CARE HOMES LLC; NPI #1790359784

Contact Information

IMPALA CARE HOMES LLC

444 W COMMERCE STREET
APT 3123
DALLAS, TX 75208

Phone: 469-910-4181
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X

Indicates primary specialty

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NPI Profile & details for IMPALA CARE HOMES LLC

NPI Number	`1790359784`
LBN Legal business name	IMPALA CARE HOMES LLC
Authorized official	DAVID MUGOMOKE - (OWNER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	05/14/2021
Last updated	05/14/2021 - About 5 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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IMPALA CARE HOMES LLC

Contact Information

Specialty

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

NPI Profile & details for IMPALA CARE HOMES LLC

Reviews for IMPALA CARE HOMES LLC