Provider Demographics
NPI:1023626868
Name:GIVENS SOME LOVE COMMUNITY & DAY HABILITATION CENTER
Entity type:Organization
Organization Name:GIVENS SOME LOVE COMMUNITY & DAY HABILITATION CENTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:FELICIA
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:GIVENS
Authorized Official - Suffix:
Authorized Official - Credentials:PROGRAM DIRECTOR
Authorized Official - Phone:903-887-1502
Mailing Address - Street 1:302 S 7TH ST
Mailing Address - Street 2:
Mailing Address - City:MABANK
Mailing Address - State:TX
Mailing Address - Zip Code:75147-7769
Mailing Address - Country:US
Mailing Address - Phone:903-275-6939
Mailing Address - Fax:903-281-1302
Practice Address - Street 1:301 STH 7TH STREET
Practice Address - Street 2:
Practice Address - City:MABANK
Practice Address - State:TX
Practice Address - Zip Code:75147
Practice Address - Country:US
Practice Address - Phone:903-887-6963
Practice Address - Fax:903-281-1302
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-17
Last Update Date:2021-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care