NPI | 1083851125 |
---|---|
Doing Business As | FAITH ASSISTED LIVING GROUP HOME |
Entity Type | Organization |
Authorized Contact | MOLUA I BECKE Director Of Adminitration 817-658-0722 |
Organization Subpart ? | No |
Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances (Licence: TX 8067) |
Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: TX 658067) |
343800000X Secured Medical Transport (VAN) (Licence: TX 24206663) | |
Enumeration Date | 2009-01-12 |
Last Update Date | 2009-01-12 |