Organization · NPI-2

A Servant'S Heart-Texas LLC

Case Management · Arlington, TX

NPI number1235793472
StatusActive
Last updated in NPPESJun 24, 2024

Details

NPI
1235793472
Entity type
Organization (NPI-2)
Legal business name
A Servant'S Heart-Texas LLC
Organization subpart
No
Enumeration date
Apr 23, 2019
Certification date
Jun 24, 2024
Last updated
Jun 24, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251B00000X Case Management––Yes

Practice location

207 Faircrest Dr
Arlington, TX 76018-4027

Phone 682-241-0309 · Fax 800-719-5871

Mailing address

207 Faircrest Dr
Arlington, TX 76018-4027

Phone 817-793-2088

Authorized official

Daphne Elaine Jackson
Case/Manager
8177149900

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