Organization
JAE'S HOUSE OF HOPE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LATWANYA JANEA TRAYLOR RN, FNP-BC (CHIEF EXECUTIVE OFFICER)
(214) 384-6466
Entity
Organization
Contact information
Practice address
2131 N COLLINS ST, SUITE 433-320, ARLINGTON, TX 76011-2849
(682) 808-4510
(682) 808-4511
Mailing address
2131 N COLLINS ST, SUITE 433-320, ARLINGTON, TX 76011-2849
(682) 808-4510
(682) 808-4511
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
310400000X
Assisted Living Facility
—
—
Other
Enumeration date
10/21/2014
Last updated
02/15/2017
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