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Advantage Star

Foster Care Agency in Desoto, TX. Organization (NPI-2).

NPI number1386136612
StatusActive
Last updated in NPPESJun 1, 2018

Details

NPI
1386136612
Entity type
Organization (NPI-2)
Legal business name
Advantage Star
Organization subpart
No
Enumeration date
Jun 1, 2018
Last updated
Jun 1, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
253J00000X Foster Care Agency––Yes

Practice location

1801 N Hampton Rd Ste 418
Desoto, TX 75115-2422

Phone 469-658-1401

Mailing address

1801 N Hampton Rd Ste 418
Desoto, TX 75115-2422

Phone 469-658-1401

Authorized official

Brandon Morgan
Program Manager
4696581401

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