Organization
J-MAG ENTERPRISES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY ANN GOODALL (OWNER ADMINISTRATOR)
(254) 562-9554
Entity
Organization
Contact information
Practice address
608 S MCKINNEY ST, MEXIA, TX 76667-3644
(254) 562-9554
(254) 562-7097
Mailing address
608 S MCKINNEY ST, MEXIA, TX 76667-3644
(254) 562-9554
(254) 562-7097
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
18000
TX
Other
Enumeration date
04/14/2006
Last updated
07/21/2022
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