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Organization
FAITH ASSISTED LIVING GROUP HOME
Active
Organization
FAITH ASSISTED LIVING GROUP HOME
Active
Other names
Faith Assisted Living Group Home
Organization subpart
No
Provider details
NPI number
Authorized official
MOLUA I BECKE (DIRECTOR OF ADMINITRATION)
(817) 658-0722
Entity
Organization
Contact information
Practice address
5201 WHITEHAVE DR, GARLAND, TX 75043
(817) 658-0722
Mailing address
5201 WHITEHAVE DR, GARLAND, TX 75043
(817) 658-0722
Taxonomy
Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
8067
TX
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
658067
TX
343800000X
Secured Medical Transport (VAN)
24206663
TX
Other
Enumeration date
01/12/2009
Last updated
01/12/2009
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