Organization
LOYALTY AT HOME FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW JAMES GERLEMAN (OWNER)
(319) 899-9327
Entity
Organization
Contact information
Practice address
2116 MARSH LN, APT. 303, CARROLLTON, TX 75006-4957
(319) 899-9327
(469) 892-5608
Mailing address
2116 MARSH LN, APT. 303, CARROLLTON, TX 75006-4957
(319) 899-9327
(469) 892-5608
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
06/13/2012
Last updated
06/13/2012
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