Organization
FAMILY FAITH RESIDENTIAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATONIA JENNINGS (PROGRAM DIRECTOR)
(972) 523-5043
Entity
Organization
Contact information
Practice address
7104 CLOVERGLEN DR, DALLAS, TX 75249-1433
(972) 523-5043
Mailing address
821 QUAIL RUN LN, LANCASTER, TX 75146-2844
(972) 523-5043
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
001009005
TX
Other
Enumeration date
08/18/2010
Last updated
08/18/2010
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