| Rehoboth Home Llc | |
|
3503 Spirea Dr Wylie TX 75098-8579 | |
| (972) 966-9826 | |
| Not Available |
| Full Name | Rehoboth Home Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3503 Spirea Dr, Wylie, Texas |
| Authorized Official Name and Position | Lynda Obi (ADMINISTRATION) |
| Authorized Official Contact | 9729669826 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rehoboth Home Llc 3503 Spirea Dr Wylie TX 75098-8579 Ph: () - | Rehoboth Home Llc 3503 Spirea Dr Wylie TX 75098-8579 Ph: (972) 966-9826 |
| NPI Number | 1104626894 |
|---|---|
| Provider Enumeration Date | 03/13/2025 |
| Last Update Date | 03/13/2025 |
| Certification Date | 03/13/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104626894 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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