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Organization
RED MAPLE RESIDENTIAL CARE, LLC
Active
Organization
RED MAPLE RESIDENTIAL CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AHMED HARUNA (MANAGER)
(469) 248-2319
Entity
Organization
Contact information
Practice address
7111 BLACKWILLOW LN, DALLAS, TX 75249-1427
(972) 674-0307
Mailing address
7111 BLACKWILLOW LN, DALLAS, TX 75249-1427
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
311ZA0620X
Adult Care Home Facility
—
—
Other
Enumeration date
01/10/2019
Last updated
07/18/2019
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