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Organization
JOVIAL LIVING HOME LLC
Active
Organization
JOVIAL LIVING HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HELLEN MURAGE (ADMINISTRATOR)
(469) 855-7196
Entity
Organization
Contact information
Practice address
2144 HACIENDA CT, GRAND PRAIRIE, TX 75052-8844
(469) 520-5792
Mailing address
2144 HACIENDA CT, GRAND PRAIRIE, TX 75052-8844
(469) 520-5792
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
04/03/2017
Last updated
04/03/2017
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