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Organization

THE HOUSTON VICTORIOUS LIVING CHURCH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RICHARD L RAY SR. (PRESIDENT)
(817) 427-2273
Entity
Organization

Contact information

Practice address
5314 BRANSFORD ROAD, COLLEYVILLE, TX 76034
(817) 427-2273
(817) 503-1960
Mailing address
5314 BRANSFORD RD, COLLEYVILLE, TX 76034-3530

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
126015
TX

Other

Enumeration date
02/25/2009
Last updated
02/25/2009
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