Organization
A NEW KIND HEART, LLC
Active
Organization
A NEW KIND HEART, LLC
Active
Other names
A NEW KIND HEART
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID E. EDGERSON (EXECUTIVE DIRECTOR)
(469) 377-0808
Entity
Organization
Contact information
Practice address
1132 VERSAILLES AVE., DESOTO, TX 75115
(469) 377-0808
(214) 884-8088
Mailing address
1132 VERSAILLES AVE., DESOTO, TX 75115
(469) 377-0808
(214) 884-8088
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/16/2021
Last updated
03/19/2021
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