Organization
THE JEANIE JANE FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOYCELYN BAGBY (DIRECTOR)
(682) 888-8417
Entity
Organization
Contact information
Practice address
4213 WOODWARD CT, GRAND PRAIRIE, TX 75052-3932
(682) 888-8417
Mailing address
4213 WOODWARD CT, GRAND PRAIRIE, TX 75052-3932
(682) 888-8417
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/11/2015
Last updated
02/11/2015
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