# LIFECENTER SKILLS FOR DEVELOPMENT

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LIFESPAN RESOURCES OF TEXAS
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1134405566
- **Legal business name:** LIFESPAN RESOURCES OF TEXAS
- **Authorized official:** MR. TEIZO DEVOTNAE ADKISON (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (469) 438-2574

## Contact information

- **Practice address:** 9304 FOREST LANE, SUITE N271, DALLAS, TX 75243
- **Practice address phone:** (469) 438-2574
- **Practice address fax:** (972) 584-9905
- **Mailing address:** 9304 FOREST LANE, SUITE N271, DALLAS, TX 75243
- **Mailing address phone:** (469) 438-2574
- **Mailing address fax:** (972) 584-9905

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 10/31/2011
- **Last updated:** 10/31/2011