Organization
SISTERS FOSTER CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRYSTLE A MONTGOMERY (OWNER)
(903) 252-2858
Entity
Organization
Contact information
Practice address
29 DAWN CIR APT B, LONGVIEW, TX 75605-2577
(903) 252-2858
Mailing address
29 DAWN CIR APT B, LONGVIEW, TX 75605-2577
(903) 252-2858
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20552062
DL
TX
Enumeration date
03/17/2021
Last updated
03/17/2021
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