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NPI Code Detail

MEDICARE: THE MEN OF NEHEMIAH INC.

MEDICARE: THE MEN OF NEHEMIAH INC.
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
1324500000XSubstance Abuse Rehabilitation FacilityFB3947TX

General Provider Information

NPI Number : 1538514294
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE MEN OF NEHEMIAH INC.
Provider Business Mailing Address
First Line : 2010 AL LIPSCOMB WAY
Second Line :
City : DALLAS
State : TX
Zip : 75215
Country : US
Telephone Number : 214-421-6705
Fax Number : 214-421-0484
Provider Business Practice Location Address
First Line : 2010 AL LIPSCOMB WAY
Second Line :
City : DALLAS
State : TX
Zip : 75215-2773
Country : US
Telephone Number : 214-421-6705
Fax Number : 214-421-0484
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MR. LOUIS B. HARRELL JR.
Credential :
Telephone Number : 214-421-6705
Provider Enumeration Date : 05/02/2016
Last Update Date : 05/02/2016

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Directions to “THE MEN OF NEHEMIAH INC. ” Practice Location

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