Organization
LIVE LIFE FREELY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONNA LOUISE JONES (PRESIDENT)
(817) 714-6895
Entity
Organization
Contact information
Practice address
4817 THAMES DR, GRAND PRAIRIE, TX 75052-8399
(817) 714-6895
Mailing address
4817 THAMES DR, GRAND PRAIRIE, TX 75052-8399
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/24/2009
Last updated
08/24/2009
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