# JAE'S HOUSE OF HOPE LLC

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

## Provider details

- **NPI number:** 1609270594
- **Authorized official:** MISS LATWANYA JANEA TRAYLOR RN, FNP-BC (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (214) 384-6466

## Contact information

- **Practice address:** 2131 N COLLINS ST, SUITE 433-320, ARLINGTON, TX 76011-2849
- **Practice address phone:** (682) 808-4510
- **Practice address fax:** (682) 808-4511
- **Mailing address:** 2131 N COLLINS ST, SUITE 433-320, ARLINGTON, TX 76011-2849
- **Mailing address phone:** (682) 808-4510
- **Mailing address fax:** (682) 808-4511

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 310400000X | Assisted Living Facility | — | NULL | — |

## Other

- **Enumeration date:** 10/21/2014
- **Last updated:** 02/15/2017