Lakeport Lodge of Love
NPI #1659748002 in Longview, Texas
Provider Information
- NPI Number
- 1659748002
- Entity Type
- Organization
- Organization Name
- Lakeport Lodge of Love
- Primary Specialty
- Foster Care Agency
- Enumeration Date
- Sep 1, 2015
- Last Updated
- Sep 1, 2015
Practice Location
Authorized Official
- Name
- MS. DORCAS MARIA DUNLAP-BROWN
- Title
- PROGRAM MANAGER
- Phone
- (903) 702-3616
Specialties & Taxonomy Codes
| Specialty |
|---|
| Foster Care Agency |
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