Organization
BLESSED & FAVORED ASSISTED LIVING INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDY KUTRACE MOORE (PRESIDENT)
(817) 500-8496
Entity
Organization
Contact information
Practice address
1807 LOST CROSSING TRL, ARLINGTON, TX 76002-3637
(817) 500-8496
Mailing address
901 COURY RD, APT#19, EVERMAN, TX 76140-4355
(817) 500-8496
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
SSN/ITIN/EIN
TX
Other
Enumeration date
10/26/2011
Last updated
10/26/2011
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