Glow Of Happiness Llc

NPI 1003180977 - Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities - 320900000X

NPI Details
NPI 1003180977
Enumeration Date 02/23/2012
Last Updated 10/14/2014
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name DESEREA M DESEREA
Position CHIEF EXECUTIVE OFFICER
Phone (254) 644-0128
Fax
Practice Location
99 RIVER RIDGE DR
WACO TX, 76705-1758, US
Phone (254) 644-0128
Fax
Business Location
99 RIVER RIDGE DR
WACO TX, 76705-1758, US
Phone (254) 644-0128
Fax
Toxanomy
Taxonomy Code 320900000X
License State Texas
License Number 001021396
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According to our database, Glow Of Happiness Llc NPI is 1003180977, taxonomy code is 320900000X and license number is 001021396, license state is located at Texas. Glow Of Happiness Llc physically located at 99 River Ridge Dr, Waco TX, 76705-1758. NPI Number 1033115704 has the healthcare provider type.

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1003180977 NPI number is provided on an as is basis without warranty of any kind. 1003180977 is maintained by the National Plan & Provider Enumeration System. The contents of Glow Of Happiness Llc are for informational purposes only.