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Organization
MOSES WAY
Active
Organization
MOSES WAY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FREDDIE LEE MILLER JR. (PROGRAM DIRECTOR)
(469) 964-1247
Entity
Organization
Contact information
Practice address
1024 TRAILWOOD DR, DESOTO, TX 75115-5544
(469) 964-1247
(469) 297-4417
Mailing address
1024 TRAILWOOD DR, DESOTO, TX 75115-5544
(469) 964-1247
(469) 297-4417
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
TX
Other
Enumeration date
04/14/2015
Last updated
04/14/2015
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