# DEBRA'S CROWN

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Debra's Crown
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063305985
- **Authorized official:** MS. JAMELA LOVE (CCO)
- **Authorized official phone:** (214) 718-2528

## Contact information

- **Practice address:** 625 CIMARRON TRACE, GRAND PRAIRIE, TX 75051
- **Practice address phone:** (214) 718-2528
- **Mailing address:** 539 W COMMERCE ST \# 6571, DALLAS, TX 75208-1953
- **Mailing address phone:** (214) 718-2528

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 05/30/2025
- **Last updated:** 05/30/2025
