Kamdem James Manga
Kamdem James Manga is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Dallas, Texas. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
1910 Pacific Ave Ste 11500Dallas, TX 75201-4559
Phone: (240) 646-4794
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Specialties & licences
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X |
|---|
Record details
| NPI number | 1740992858 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | December 20, 2022 |
| Last updated in NPPES | December 20, 2022 |
| Certification date | December 20, 2022 |
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