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Organization

GIFT OF LIFE COMMUNITY HOME

Active
Other names
The Holistic society
Organization subpart
No

Provider details

NPI number
Authorized official
YOLANDA VASHUND HENDERSON N.D, CHHC (CEO)
(817) 691-7238
Entity
Organization

Contact information

Practice address
6510 VIRGINIA PKWY, 108, MCKINNEY, TX 75071-5510
(817) 691-7238
(888) 959-2093
Mailing address
3220 GRANT ST, MCKINNEY, TX 75071-2990
(817) 691-7238
(888) 959-2093

Taxonomy

Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
TX
253Z00000X
In Home Supportive Care Agency
TX
320700000X
Physical Disabilities Residential Treatment Facility
TX

Other

Enumeration date
10/20/2015
Last updated
10/20/2015
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