Provider Demographics
NPI:1952504896
Name:A SERVICE THAT CARES
Entity Type:Organization
Organization Name:A SERVICE THAT CARES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KELLEY
Authorized Official - Middle Name:D
Authorized Official - Last Name:LANE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-217-4744
Mailing Address - Street 1:221 BROOKVIEW DR
Mailing Address - Street 2:
Mailing Address - City:DESOTO
Mailing Address - State:TX
Mailing Address - Zip Code:75115-5721
Mailing Address - Country:US
Mailing Address - Phone:972-217-4744
Mailing Address - Fax:972-223-6621
Practice Address - Street 1:221 BROOKVIEW DR
Practice Address - Street 2:
Practice Address - City:DESOTO
Practice Address - State:TX
Practice Address - Zip Code:75115-5721
Practice Address - Country:US
Practice Address - Phone:972-217-4744
Practice Address - Fax:972-223-6621
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management