Organization
LIVING QUALITY MOMENTS INC.
Active
Organization
LIVING QUALITY MOMENTS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA QUEENESTER MARONEY (CEO/PRESIDENT/PROGRAM DIRECTOR)
(817) 565-5984
Entity
Organization
Contact information
Practice address
320 AUTUMN PARK, FORT WORTH, TX 76140-6524
(817) 551-0559
(817) 551-0668
Mailing address
1019 W ENON AVE, SUITE A, EVERMAN, TX 76140-3648
(817) 551-0559
(817) 551-0668
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
10/28/2010
Last updated
10/28/2010
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