Favored Hospitality Llc

NPI 1780087882 - Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities - 320600000X

NPI Details
NPI 1780087882
Enumeration Date 10/02/2014
Last Updated 10/02/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name DERAVIAN DERAVIAN
Position PRESIDENT
Phone (817) 233-1190
Fax (817) 465-8000
Practice Location
5605 MANSFIELD RD
ARLINGTON TX, 76017-4435, US
Phone (817) 233-1190
Fax (817) 465-8000
Business Location
5605 MANSFIELD ROAD
ARLINGTON TX, 76017, US
Phone (817) 233-1190
Fax (817) 465-8000
Toxanomy
Taxonomy Code 320600000X
License State
License Number
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According to our database, Favored Hospitality Llc NPI is 1780087882, taxonomy code is 320600000X Favored Hospitality Llc physically located at 5605 Mansfield Rd, Arlington TX, 76017-4435. NPI Number 1033115704 has the healthcare provider type.

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1780087882 NPI number is provided on an as is basis without warranty of any kind. 1780087882 is maintained by the National Plan & Provider Enumeration System. The contents of Favored Hospitality Llc are for informational purposes only.