Organization
THE GARDENER'S HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT DOUGLAS LCDC (OWNER/PROGRAM MANAGER)
(214) 809-9780
Entity
Organization
Contact information
Practice address
5315 DUVAL DR, GRAND PRAIRIE, TX 75052-2654
(214) 809-9780
Mailing address
5315 DUVAL DR, GRAND PRAIRIE, TX 75052-2654
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
TX
Other
Enumeration date
01/25/2017
Last updated
01/25/2017
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