Organization
PATRIOTS HOUSECALLS LLC
Active
Other names
PATRIOTS HOUSECALLS LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPHINE DEVADOSS (OWNER)
(217) 735-6622
Entity
Organization
Contact information
Practice address
2665 VILLA CREEK DR STE 205, DALLAS, TX 75234-7337
(469) 278-3736
Mailing address
2665 VILLA CREEK DR STE 205, DALLAS, TX 75234-7337
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/14/2021
Last updated
10/21/2021
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