Provider Demographics
NPI:1467766972
Name:MARGARET & PATHANA'S PROMISE HOUSE LLC
Entity Type:Organization
Organization Name:MARGARET & PATHANA'S PROMISE HOUSE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENT/MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:ZELDA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:HOFFMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-230-3311
Mailing Address - Street 1:544 MISSIONARY RDG
Mailing Address - Street 2:
Mailing Address - City:DESOTO
Mailing Address - State:TX
Mailing Address - Zip Code:75115-5231
Mailing Address - Country:US
Mailing Address - Phone:972-230-3311
Mailing Address - Fax:972-230-3311
Practice Address - Street 1:544 MISSIONARY RDG
Practice Address - Street 2:
Practice Address - City:DESOTO
Practice Address - State:TX
Practice Address - Zip Code:75115-5231
Practice Address - Country:US
Practice Address - Phone:972-230-3311
Practice Address - Fax:972-230-3311
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-27
Last Update Date:2010-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility