Egde Wise Enterprises, Inc.

NPI #1861653354 in Rockwall, Texas

Provider Information

NPI Number: 1861653354
Entity Type: Organization
Organization Name: Egde Wise Enterprises, Inc.
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Jun 18, 2008
Last Updated: Jul 7, 2008

Practice Location

Address: 1932 S LAKESHORE DR
City: Rockwall
State: Texas
ZIP Code: 75087-5103
Phone: (972) 771-3346

Authorized Official

Name: MRS. BECKY G GOSH
Title: PRESIDENT
Phone: (214) 734-3516

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary

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