MEDICARE: 1ST AP HEALTH CARE SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

General Provider Information

NPI Number	:	1306344627
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	1ST AP HEALTH CARE SERVICES

Provider Business Mailing Address
First Line	:	528 WHITE OAK ST
Second Line	:
City	:	ALLEN
State	:	TX
Zip	:	75002-3302
Country	:	US
Telephone Number	:	214-607-5389
Fax Number	:

Provider Business Practice Location Address
First Line	:	528 WHITE OAK ST
Second Line	:
City	:	ALLEN
State	:	TX
Zip	:	75002-3302
Country	:	US
Telephone Number	:	214-607-5389
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	ELLIS ANDRE PARKER
Credential	:
Telephone Number	:	214-607-5389

Provider Enumeration Date	:	02/01/2018
Last Update Date	:	02/01/2018

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Directions to “1ST AP HEALTH CARE SERVICES ” Practice Location

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