Organization
REBUILDING LIFE AND EMBRACING DEATH LLC DBA ANNETTA'S HOME AWAY FROM H
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LASHONDRA BROWN MA, LMSW, CDP, CAGCS (EXECUTIVE DIRECTOR)
(870) 592-0687
Entity
Organization
Contact information
Practice address
927 N GREER BLVD, PITTSBURG, TX 75686-1181
(870) 592-0687
Mailing address
PO BOX 298, MOUNT VERNON, TX 75457-0298
(870) 592-0687
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
347E00000X
Transportation Broker
—
—
Other
Enumeration date
08/04/2021
Last updated
08/25/2021
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