# JEHOVAH-JIREH GROUP HOME

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053519975
- **Authorized official:** SHEILA BREWER (CEO)
- **Authorized official phone:** (972) 452-8741

## Contact information

- **Practice address:** 4883 COUNTY ROAD 4101, KAUFMAN, TX 75142
- **Practice address phone:** (972) 452-8741
- **Mailing address:** 4883 COUNTY ROAD 4101, KAUFMAN, TX 75142

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 07/03/2007
- **Last updated:** 08/22/2020
