Provider Demographics
NPI:1457555609
Name:MORNING LIGHT, INC. OF TEXAS
Entity Type:Organization
Organization Name:MORNING LIGHT, INC. OF TEXAS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:PHIL
Authorized Official - Last Name:ALLEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-934-8516
Mailing Address - Street 1:202 NATHAN ST
Mailing Address - Street 2:
Mailing Address - City:MARSHALL
Mailing Address - State:TX
Mailing Address - Zip Code:75670-6247
Mailing Address - Country:US
Mailing Address - Phone:903-934-8516
Mailing Address - Fax:903-934-8484
Practice Address - Street 1:202 NATHAN ST
Practice Address - Street 2:
Practice Address - City:MARSHALL
Practice Address - State:TX
Practice Address - Zip Code:75670-6247
Practice Address - Country:US
Practice Address - Phone:903-934-8516
Practice Address - Fax:903-934-8484
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities