OrganizationActive
1house of Micah
NPI 1104219096 · Adult Care Home Facility · Wylie, TX
Provider details
- NPI number
- 1104219096
- Entity type
- Organization
- Primary specialty
- Adult Care Home FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Jamila Gilliam, Owner(469) 478-7106
- License
- 56214 (TX)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Behavioral Health & Social Service Providers
Agencies
- Custodial Care Facility311Z00000X
Nursing & Custodial Care Facilities
Residential Treatment Facilities
Residential Treatment Facilities
Practice location
600 Woodbridge Pkwy
Unit 2133
Wylie, TX 75098-7047
Phone: (469) 478-7106
Approximate (ZIP-level) locationGet directions
Mailing address
600 Woodbridge Pkwy
Wylie, TX 75098-7047
Registry dates
- Enumerated
- 2015-03-17
- Last updated
- 2015-03-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.