| Organization Name: | BRENDA'S DEVINE HERITAGE RESIDENTIAL, INC. |
| NPI Number: | 1750617718 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BRENDA JOYCE BURFORD (OWNER) |
| Mailing Address: | 307 Briscoe Ave Devine |
| State: | TX US |
| Postal Code: | 780163003 |
| Phone Number: | 8306652000 |
| Fax Number: | 8306632832 |
| NPI Enumeration Date: | 10/27/2009 |
| NPI Last Update Date: | 10/27/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3104A0625X |
| License Number: | 126697 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Nursing & Custodial Care Facilities |
| Taxonomy Classification: | Assisted Living Facility |
| Taxonomy Specialization: | Assisted Living, Mental Illness |
| Taxonomy Definition: | A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. |