Organization
BODY OF CHRIST ASSEMBLY
Active
Parent organization
BODY OF CHRIST ASSEMBLY
Other names
BOCA Creative Support Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
BODY OF CHRIST ASSEMBLY
Authorized official
MR. FREDRICK LYNN EDDINGTON SR. (PASTOR/CEO)
(469) 261-0532
Entity
Organization
Contact information
Practice address
1614 SUMMERS DR, CEDAR HILL, TX 75104-4920
(469) 261-0532
(972) 299-9369
Mailing address
1614 SUMMER DR., CEDAR HILL, TX 75104
(469) 261-0532
(972) 299-9369
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
12/05/2014
Last updated
12/05/2014
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