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NPI Code Detail

MEDICARE: EUDAEMONIA CONGENIAL CARE LLC

MEDICARE: EUDAEMONIA CONGENIAL CARE LLC
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
1261QH0100XHealth Service Clinic/Center

General Provider Information

NPI Number : 1982463683
Entity Type Code : Organization
Provider Name (Legal Business Name) : EUDAEMONIA CONGENIAL CARE LLC
Provider Business Mailing Address
First Line : 5473 BLAIR RD STE 100
Second Line : PMB 416396
City : DALLAS
State : TX
Zip : 75231
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 12222 MERIT DR STE 130
Second Line :
City : DALLAS
State : TX
Zip : 75251-3236
Country : US
Telephone Number : 214-709-1321
Fax Number :
Authorized Official
Title or Position : (MANAGER)
Name : AMANDA ROLAND
Credential :
Telephone Number : 214-709-1321
Provider Enumeration Date : 03/15/2024
Last Update Date : 07/26/2024

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Directions to “EUDAEMONIA CONGENIAL CARE LLC ” Practice Location

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