Organization
LINDA DIXON
Active
Other names
Divine Community Based Services
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA F DIXON (OWNER)
(817) 721-5801
Entity
Organization
Contact information
Practice address
2650 SOUTH FORUM DRIVE #18104, GRAND PRAIRIE, TX 75052
(817) 721-5801
Mailing address
PO BOX 201964, ARLINGTON, TX 76006-1964
(817) 721-5801
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
Other
Enumeration date
11/01/2013
Last updated
11/01/2013
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