Organization
GREENHART
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANA M GREEN LVN (OWNER)
(903) 780-6492
Entity
Organization
Contact information
Practice address
440 PRIVATE ROAD 5610, GRAND SALINE, TX 75140-5332
(903) 780-6492
(903) 962-4020
Mailing address
440 PRIVATE ROAD 5610, GRAND SALINE, TX 75140-5332
(903) 780-6492
(903) 962-4020
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/08/2012
Last updated
08/08/2012
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