Organization
MARLA'S COMMUNITY LIVING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY E WATSON M.ED. (DIRECTOR OF OPERATIONS)
(806) 771-0602
Entity
Organization
Contact information
Practice address
1408 TEXAS AVE, LUBBOCK, TX 79401-4036
(806) 771-0602
(806) 771-0658
Mailing address
1408 TEXAS AVE, LUBBOCK, TX 79401-4036
(806) 771-0602
(806) 771-0658
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
01/18/2013
Last updated
01/18/2013
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