| Jude's Place Llc | |
|
13537 Lost Spurs Rd Roanoke TX 76262-4508 | |
| (817) 266-9626 | |
| Not Available |
| Full Name | Jude's Place Llc |
|---|---|
| Speciality | Case Management |
| Location | 13537 Lost Spurs Rd, Roanoke, Texas |
| Authorized Official Name and Position | Celeste J Kelly (DIRECTOR, CASE MANAGER) |
| Authorized Official Contact | 8172669626 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jude's Place Llc 13537 Lost Spurs Rd Roanoke TX 76262-4508 Ph: (817) 266-9626 | Jude's Place Llc 13537 Lost Spurs Rd Roanoke TX 76262-4508 Ph: (817) 266-9626 |
| NPI Number | 1013467000 |
|---|---|
| Provider Enumeration Date | 10/13/2016 |
| Last Update Date | 10/13/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013467000 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 251B00000X | Case Management | (* (Not Available)) | Primary |
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