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Organization
LORETO HOUSE
Active
Organization
LORETO HOUSE
Active
Other names
Loreto House, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY BOLLIG (PRESIDENT)
(940) 380-8191
Entity
Organization
Contact information
Practice address
1100 N BONNIE BRAE ST, DENTON, TX 76201-2421
(940) 380-8191
Mailing address
1100 N BONNIE BRAE ST, DENTON, TX 76201-2421
(940) 380-8191
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
10/14/2022
Last updated
12/12/2022
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