A Divine Connection Child Placing Agency, LLC
Foster Care Agency in Desoto, TX. Organization (NPI-2).
NPI number1689334906
StatusActive
Last updated in NPPESDec 28, 2021
Details
- NPI
- 1689334906
- Entity type
- Organization (NPI-2)
- Legal business name
- A Divine Connection Child Placing Agency, LLC
- Organization subpart
- No
- Enumeration date
- Dec 28, 2021
- Certification date
- Dec 28, 2021
- Last updated
- Dec 28, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253J00000X | Foster Care Agency | – | – | Yes |
Practice location
905 Macaw WayDesoto, TX 75115-7210
Phone 469-499-6200
Mailing address
905 Macaw WayDesoto, TX 75115-7210
Phone 469-499-6200
Authorized official
Dezaree Lusk
Owner
4694996200
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