A Champion Home & Community Services
Foster Care Agency in Desoto, TX. Organization (NPI-2).
NPI number1609140920
StatusActive
Last updated in NPPESMar 19, 2024
Details
- NPI
- 1609140920
- Entity type
- Organization (NPI-2)
- Legal business name
- A Champion Home & Community Services
- Organization subpart
- No
- Enumeration date
- Mar 5, 2012
- Certification date
- Mar 19, 2024
- Last updated
- Mar 19, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253J00000X | Foster Care Agency | – | TX | Yes |
Other names
- A Champion Home & Community Services (Doing Business As)
Practice location
119 Executive Way Ste 303Desoto, TX 75115-2341
Phone 469-463-3054 · Fax 214-306-6035
Mailing address
119 Executive Way Ste 303Desoto, TX 75115-2341
Phone 469-463-3054 · Fax 214-306-6035
Authorized official
Trace Hendersom
Program Manager
4694633054
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