Organization
1ST LIFE PLANNING RESIDENTIAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC BRANDENBURG (PRESIDENT)
(214) 618-1722
Entity
Organization
Contact information
Practice address
3939 BELT LINE RD, SUITE 310, ADDISON, TX 75001-4323
(972) 964-3444
Mailing address
3939 BELT LINE RD, SUITE 310, ADDISON, TX 75001-4323
(972) 964-3444
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/10/2013
Last updated
04/10/2013
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