Organization
CARING COVENANT COMMUNITY HOME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTOINE MOURY'E BEACHUM CMA (OWNER/PRESIDENT)
(817) 528-0971
Entity
Organization
Contact information
Practice address
610 UPTOWN BLVD STE 2000, CEDAR HILL, TX 75104-3528
(817) 528-0971
(469) 779-6112
Mailing address
PO BOX 1114, LANCASTER, TX 75146-8114
(817) 528-0971
(469) 779-6112
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/02/2023
Last updated
08/02/2023
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