Organization
SHALOM COKER 24 HOURS SPECIAL NEEDS DAYCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHALOM OSUNDE (PRESIDENT AND CEO)
(972) 374-6955
Entity
Organization
Contact information
Practice address
3103 GREGORY LN, GRAND PRAIRIE, TX 75052-5742
(972) 374-6955
Mailing address
3103 GREGORY LN, GRAND PRAIRIE, TX 75052-5742
(972) 374-6955
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
LVN#221824
TX
Other
Enumeration date
07/25/2014
Last updated
07/25/2014
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