A New Kind Heart, LLC

NPI #1518550086 in Desoto, Texas

Provider Information

NPI Number: 1518550086
Entity Type: Organization
Organization Name: A New Kind Heart, LLC
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Feb 16, 2021
Last Updated: Mar 19, 2021

Practice Location

Address: 1132 VERSAILLES AVE.
City: Desoto
State: Texas
ZIP Code: 75115
Phone: (469) 377-0808

Authorized Official

Name: DAVID E. EDGERSON
Title: EXECUTIVE DIRECTOR
Phone: (469) 377-0808

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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