Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
ALL AMERICAN FUN FACTORY (AAFF)
Active
Organization
ALL AMERICAN FUN FACTORY (AAFF)
Active
Other names
GABRIEL'S GATEWAY
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIESHA MAZIN EASTERLING MED (PROGRAM MANAGER)
(469) 865-9209
Entity
Organization
Contact information
Practice address
530 RISING RIDGE DR, DESOTO, TX 75115-3860
(469) 865-9209
Mailing address
530 RISING RIDGE DR, DESOTO, TX 75115-3860
(469) 865-9209
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
NULL
Other
Enumeration date
09/14/2009
Last updated
09/14/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers