| 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 |