Organization
EGDE WISE ENTERPRISES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BECKY G GOSH (PRESIDENT)
(214) 734-3516
Entity
Organization
Contact information
Practice address
1932 S LAKESHORE DR, ROCKWALL, TX 75087-5103
(972) 771-3346
Mailing address
1932 S LAKESHORE DR, ROCKWALL, TX 75087-5103
(972) 771-3346
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/18/2008
Last updated
07/07/2008
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