Organization
INLIGHTENED SAFE HAVEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STEPHANIE C BROWN (PROGRAM MANAGER)
(409) 782-1517
Entity
Organization
Contact information
Practice address
828 NTH 28TH ST., ORANGE, TX 77630
(409) 670-1803
(409) 670-1803
Mailing address
828 NTH 28TH ST., ORANGE, TX 77630
(409) 670-1803
(409) 670-1803
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
05785017
TX
Other
Enumeration date
01/26/2011
Last updated
01/26/2011
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