# FAITH ASSISTED LIVING GROUP HOME

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Faith Assisted Living Group Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083851125
- **Authorized official:** MOLUA I BECKE (DIRECTOR OF ADMINITRATION)
- **Authorized official phone:** (817) 658-0722

## Contact information

- **Practice address:** 5201 WHITEHAVE DR, GARLAND, TX 75043
- **Practice address phone:** (817) 658-0722
- **Mailing address:** 5201 WHITEHAVE DR, GARLAND, TX 75043
- **Mailing address phone:** (817) 658-0722

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3104A0630X | Assisted Living Facility (Behavioral Disturbances) | 8067 | TX | Yes |
| 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