Organization
FRIENDS FOR LIFE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE DUNHAM (OPERATIONS MANAGER)
(254) 772-7600
Entity
Organization
Contact information
Practice address
5000 LAKEWOOD DR, WACO, TX 76710-2921
(254) 772-7600
(254) 757-2576
Mailing address
5000 LAKEWOOD DR, WACO, TX 76710-2921
(254) 772-7600
(254) 757-2576
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
120555
TX
Other
Enumeration date
10/10/2007
Last updated
10/10/2007
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