Shacklefree Ministries

LBN: Shacklefree Ministries
Shacklefree Ministries is an health care organization with primary practice located at 409 N Fredonia St Suite 116, Longview TX 75601-6466. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Shacklefree Ministries can be contacted via phone (903) 917-6632, or through Taylor, Virginia Lea via phone (903) 917-6632.

Contact Information

Primary practice address
409 N Fredonia St Suite 116 Longview TX 75601-6466
Phone: (903) 917-6632
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Taylor, Virginia Lea BCLBT
Phone: (903) 917-6632

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X

Profile Details

NPI number 1356695480
LBN Legal business name Shacklefree Ministries
DBA Doing business as
Authorized official Taylor, Virginia Lea BCLBT
Entity Organization
Organization subpart 1 No
Enumeration date Oct 26th, 2012
Last updated Oct 26th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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