Organization
AT THE HAND OF JESUS MINISTRIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HOLLY LAMON ADAMS LICENSE BOARDING HOM (ADMINISTRATOR)
(682) 704-1926
Entity
Organization
Contact information
Practice address
2315 VOLGA AVE, DALLAS, TX 75216-5762
(682) 704-1926
Mailing address
2315 VOLGA AVE, DALLAS, TX 75216-5762
(682) 704-1926
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
177F00000X
Lodging Provider
—
—
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253J00000X
Foster Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
310400000X
Assisted Living Facility
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
453596615
—
TX
Enumeration date
07/25/2018
Last updated
12/10/2019
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