Organization
HOUSE OF INSPIRATION RESIDENTIAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENIKA JACKSON (OWNER)
(214) 723-3688
Entity
Organization
Contact information
Practice address
1303 DIXON CIR, COPPERAS COVE, TX 76522-4063
(214) 723-3688
Mailing address
1303 DIXON CIR, COPPERAS COVE, TX 76522-4063
(214) 723-3688
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/22/2021
Last updated
07/22/2021
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