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Organization

HEART OF PURPOSE FOUNDATION INC

Active
Other names
JB Professional Sports Med Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
JONNITA BROWN (OWNER / ATHLETIC DIRECTOR)
(469) 781-0350
Entity
Organization

Contact information

Practice address
325 N SAINT PAUL ST STE 3100, DALLAS, TX 75201-3923
(469) 781-0350
Mailing address
3330 N GALLOWAY AVE STE 304132, MESQUITE, TX 75150-4728
(469) 781-0350

Taxonomy

Speciality
Code
Description
License number
State
174200000X
Meals Provider
177F00000X
Lodging Provider
251K00000X
Public Health or Welfare Agency
251V00000X
Voluntary or Charitable Agency
253Z00000X
In Home Supportive Care Agency
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
261QP2300X
Primary Care Clinic/Center
261QR0400X
Rehabilitation Clinic/Center
261QR0800X
Recovery Care Clinic/Center
261QR1100X
Research Clinic/Center
332B00000X
Durable Medical Equipment & Medical Supplies
332U00000X
Home Delivered Meals
333300000X
Emergency Response System Companies
342000000X
Transportation Network Company
347C00000X
Private Vehicle

Other

Enumeration date
06/03/2021
Last updated
06/04/2021
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