Organization
SAFE HAVENS OF KORNERSTONE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DALE H SMITH (EXECUTIVE DIRECTOR)
(817) 276-9009
Entity
Organization
Contact information
Practice address
3221 W PIONEER PKWY, PANTEGO, TX 76013-4620
(817) 276-9009
(817) 276-9084
Mailing address
3221 W PIONEER PKWY, PANTEGO, TX 76013-4620
(817) 276-9009
(817) 276-9084
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
854064-424
TX
Other
Enumeration date
02/11/2009
Last updated
02/11/2009
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