Organization
GLOW OF HAPPINESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DESEREA M MORGAN (CHIEF EXECUTIVE OFFICER)
(254) 644-0128
Entity
Organization
Contact information
Practice address
99 RIVER RIDGE DR, WACO, TX 76705-1758
(254) 644-0128
Mailing address
99 RIVER RIDGE DR, WACO, TX 76705-1758
(254) 644-0128
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
001021396
TX
Other
Enumeration date
02/23/2012
Last updated
10/14/2014
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