Organization
PRECIOUS HAND'S
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VASHON MCCOY (PROGRAM MANAGER)
(903) 917-6465
Entity
Organization
Contact information
Practice address
209 HAILEY DR, LONGVIEW, TX 75602-2803
(903) 917-6465
Mailing address
209 HAILEY DR, LONGVIEW, TX 75602-2803
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
10535847
TX
Other
Enumeration date
10/04/2011
Last updated
04/09/2012
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