Live Life Freely INC
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Grand Prairie, TX. Organization (NPI-2).
NPI number1689807794
StatusActive
Last updated in NPPESAug 24, 2009
Details
- NPI
- 1689807794
- Entity type
- Organization (NPI-2)
- Legal business name
- Live Life Freely INC
- Organization subpart
- No
- Enumeration date
- Aug 24, 2009
- Last updated
- Aug 24, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | Yes |
Practice location
4817 Thames DrGrand Prairie, TX 75052-8399
Phone 817-714-6895
Mailing address
4817 Thames DrGrand Prairie, TX 75052-8399
Authorized official
Donna Louise Jones
President
8177146895
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