1 Tlc:transformative Life Center
Foster Care Agency in Desoto, TX. Organization (NPI-2).
NPI number1164896122
StatusActive
Last updated in NPPESNov 13, 2015
Details
- NPI
- 1164896122
- Entity type
- Organization (NPI-2)
- Legal business name
- 1 Tlc:transformative Life Center
- Organization subpart
- No
- Enumeration date
- Nov 13, 2015
- Last updated
- Nov 13, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253J00000X | Foster Care Agency | – | TX | Yes |
Practice location
1229 E Pleasant Run RdDesoto, TX 75115-4209
Phone 469-774-3053
Mailing address
1229 E Pleasant Run Rd Ste 124Desoto, TX 75115-4211
Phone 469-774-3053
Authorized official
Demetra Donaldson
Executive Director
4697743053
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