Organization
A LITE ABOVE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATRICIA MAY GAMBLETON (DIRECTOR)
(214) 612-0115
Entity
Organization
Contact information
Practice address
204 STARDUST TRL, WAXAHACHIE, TX 75165-5362
(214) 612-0115
Mailing address
204 STARDUST TRL, WAXAHACHIE, TX 75165-5362
(214) 612-0115
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
06/12/2025
Last updated
06/12/2025
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