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Organization

FAITHFUL LOVE THERAPEUTIC CHILDREN'S HOME

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WANDA HILL (DIRECTOR)
(469) 999-4126
Entity
Organization

Contact information

Practice address
3129 FADAL AVE, WACO, TX 76708-2418
(469) 999-4126
Mailing address
3129 FADAL AVE, WACO, TX 76708-2418
(469) 999-4126

Taxonomy

Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Other

Enumeration date
07/16/2018
Last updated
07/16/2018
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