Mimi Group Home

NPI #1598429086 in Kyle, Texas

Provider Information

NPI Number: 1598429086
Entity Type: Organization
Organization Name: Mimi Group Home
Primary Specialty: Home Health
Enumeration Date: Oct 29, 2021
Last Updated: Oct 29, 2021

Practice Location

Address: 1500 BREANNA LN
City: Kyle
State: Texas
ZIP Code: 78640-9344
Phone: (817) 996-8746

Authorized Official

Name: MIMI KATUALA
Title: ADMINISTRATOR
Phone: (817) 996-8749

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X	Primary

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