Organization
LIVING EUPHORIA, LLC
Active
Organization
LIVING EUPHORIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OMOLOLA BETHEL (OWNER)
(316) 214-6104
Entity
Organization
Contact information
Practice address
106 N DENTON TAP RD STE 210 #151, COPPELL, TX 75019
(316) 214-6104
Mailing address
106 N DENTON TAP RD STE 210 #151, COPPELL, TX 75019
(316) 214-6104
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
347C00000X
Private Vehicle
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
02/13/2019
Last updated
02/13/2019
Update your record
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