Organization
KABBAGE PATCH GROUP HOMES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARDE DAWNTRESE GREEN LVN (OWNER/ALT ADMIN/WELLNESS DIRECTOR)
(254) 221-9222
Entity
Organization
Contact information
Practice address
601 MUSTANG TRL, HARKER HEIGHTS, TX 76548-2340
(254) 221-9222
Mailing address
601 MUSTANG TRL, HARKER HEIGHTS, TX 76548-2340
(254) 221-9222
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
07/15/2020
Last updated
07/15/2020
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