Organization
BRENDA BURFORD
Active
Other names
Devine Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA JOYCE BURFORD (OWNER)
(210) 387-7515
Entity
Organization
Contact information
Practice address
309 BRISCOE AVE, DEVINE, TX 78016-3003
(210) 387-7515
(830) 663-2832
Mailing address
PO BOX 224, DEVINE, TX 78016-0224
(210) 387-7515
(830) 663-2033
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
113212
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001003859
CBA
TX
Enumeration date
10/25/2006
Last updated
02/26/2021
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