Organization
BRENDA'S DEVINE HERITAGE RESIDENTIAL, INC.
Active
Other names
Heritage Residential
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA JOYCE BURFORD LVN (OWNER)
(830) 665-2000
Entity
Organization
Contact information
Practice address
307 BRISCOE AVE, DEVINE, TX 78016-3003
(830) 665-2000
(830) 663-2832
Mailing address
PO BOX 570, 307 BRISCOE AVE, DEVINE, TX 78016-0570
(830) 665-2000
(830) 663-2832
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
126697
TX
Other
Enumeration date
10/27/2009
Last updated
10/27/2009
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