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Organization

ADVANTAGE STAR

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRANDON MORGAN (PROGRAM MANAGER)
(469) 658-1401
Entity
Organization

Contact information

Practice address
1801 N HAMPTON RD STE 418, DESOTO, TX 75115-2422
(469) 658-1401
Mailing address
1801 N HAMPTON RD STE 418, DESOTO, TX 75115-2422
(469) 658-1401

Taxonomy

Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary

Other

Enumeration date
06/01/2018
Last updated
06/01/2018
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