Organization
D'ANGEL OF FAYETH HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STACEY WATSON (PROGRAM MANAGER)
(469) 437-1956
Entity
Organization
Contact information
Practice address
2143 FAIR WEATHER DR, LANCASTER, TX 75146-4934
(469) 437-1956
Mailing address
2143 FAIR WEATHER DR, LANCASTER, TX 75146-4934
(469) 437-1956
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/24/2024
Last updated
07/24/2024
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