Organization
LATTER GLORY HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OLUSEYE AKINDEBE (ADMINISTRATOR)
(972) 259-7389
Entity
Organization
Contact information
Practice address
9704 GEORGE WASHINGTON DR, MCKINNEY, TX 75070-5811
(972) 259-7389
Mailing address
9704 GEORGE WASHINGTON DR, MCKINNEY, TX 75070-5811
(972) 259-7389
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/11/2012
Last updated
02/11/2012
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