Organization
BRENDA'S DEVINE HERITAGE RESIDENTIAL, INC.
Active
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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