Organization
FJV FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TONIA GRANGER (EXECUTIVE DIRECTOR)
(972) 786-3475
Entity
Organization
Contact information
Practice address
1601 OSPREY DR, SUITE 206, DESOTO, TX 75115-8818
(972) 786-3475
Mailing address
1601 OSPREY DR, SUITE 206, DESOTO, TX 75115-8818
Taxonomy
Speciality
Code
Description
License number
State
332U00000X
Home Delivered Meals
Primary
—
—
Other
Enumeration date
05/21/2014
Last updated
05/21/2014
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