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General NPI Number Information
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NPI Number | 1154782662
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Entity Type | Organization
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Legal Business Name | MCKINNEY DIRECT CARE SERVICES LLC
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Dates
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Enumeration Date | 03/10/2016
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Last Update Date | 04/03/2024
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Provider Practice Location Address
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Address Line | 1871 HARROUN AVE STE 100
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City | MCKINNEY
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State | TX
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Zip | 75069-3469
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Country | US
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Telephone | 214-856-5552
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Fax | 903-200-0271
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Provider Business Mailing Address
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Address Line | 2300 W WHITE AVE STE 104
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City | MCKINNEY
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State | TX
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Zip | 75071-3133
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Country | US
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Telephone | 214-856-5552
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Fax | 903-200-0271
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Authorized Official
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Title or Position | CEO
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Name | EVELYN JOHNSON
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Credential |
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Telephone | 214-856-5552
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 320700000X
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Taxonomy Name | Physical Disabilities Residential Treatment Facility
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License Number |
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Taxonomy #3
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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Taxonomy #4
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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Taxonomy #5
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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