Organization
CHRISTIAN LIFE RESIDENTIAL SERVICES
Active
Other names
Martha Gail Miller
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARTHA GAIL MILLER (PROGRAM DIRECTOR)
(903) 489-9977
Entity
Organization
Contact information
Practice address
226 E ROYALL BLVD, MALAKOFF, TX 75148-9110
(903) 489-9977
(903) 698-2827
Mailing address
226 E ROYALL BLVD, MALAKOFF, TX 75148-9110
(903) 489-9977
(903) 698-2827
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1972702298
—
TX
Enumeration date
10/25/2012
Last updated
10/25/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us