NPI 1659748002
Lakeport Lodge of Love
Practice location
- Address
- 11585 Fm 349 A, Longview, TX 75603-7562
- Phone
- (903) 702-3616
Authorised official
- Name
- Dorcas Maria Dunlap-Brown
- Title
- Program Manager
- Phone
- (903) 702-3616
Registered specialties
Foster Care Agency
Primary
Registry record
- NPI
- 1659748002
- Entity type
- Organization
- NPI issued
- 1 Sep 2015
- Record last updated
- 1 Sep 2015
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.