Healthcare Provider Details

I. General information

NPI: 1023626868
Provider Name (Legal Business Name): GIVENS SOME LOVE COMMUNITY & DAY HABILITATION CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2020
Last Update Date: 09/03/2021
Certification Date: 09/03/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 STH 7TH STREET
MABANK TX
75147
US

IV. Provider business mailing address

302 S 7TH ST
MABANK TX
75147-7769
US

V. Phone/Fax

Practice location:
  • Phone: 903-887-6963
  • Fax: 903-281-1302
Mailing address:
  • Phone: 903-275-6939
  • Fax: 903-281-1302

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. FELICIA LOUISE GIVENS
Title or Position: CEO
Credential: PROGRAM DIRECTOR
Phone: 903-887-1502