Champagne House

NPI 1013056431 - Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities - 320900000X

NPI Details
NPI 1013056431
Enumeration Date 02/05/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name JOY JOY
Position OWNER
Phone (903) 882-8337
Fax (903) 882-1627
Practice Location
303 MOUNT SYLVAN ST
LINDALE TX, 75771-6235, US
Phone (903) 882-8337
Fax (903) 882-1627
Business Location
PO BOX 1749
LINDALE TX, 75771-1749, US
Phone (903) 882-8337
Fax (903) 882-1627
Toxanomy
Taxonomy Code 320900000X
License State
License Number
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According to our database, Champagne House NPI is 1013056431, taxonomy code is 320900000X Champagne House physically located at 303 Mount Sylvan St, Lindale TX, 75771-6235. NPI Number 1033115704 has the healthcare provider type.

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1013056431 NPI number is provided on an as is basis without warranty of any kind. 1013056431 is maintained by the National Plan & Provider Enumeration System. The contents of Champagne House are for informational purposes only.