Organization
CLARA RESIDENTIAL HOME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAITH CHESIRE (DIRECTOR)
(214) 212-7002
Entity
Organization
Contact information
Practice address
1302 BUCKINGHAM DR, FORNEY, TX 75126-6475
(214) 212-7002
Mailing address
1302 BUCKINGHAM DR, FORNEY, TX 75126-6475
(214) 212-7002
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
TX
Other
Enumeration date
01/31/2017
Last updated
01/31/2017
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