# LIFESPAN RESOURCES OF TEXAS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588997712
- **Authorized official:** MR. TIEZO DEVOTNAE ADKISON LVN, RAC-CT, CNAC (DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (682) 433-9750

## Contact information

- **Practice address:** 3918 S DENLEY DR, DALLAS, TX 75216-5617
- **Practice address phone:** (682) 433-9750
- **Mailing address:** 3918 S DENLEY DR, DALLAS, TX 75216-5617
- **Mailing address phone:** (682) 433-9750

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 09/04/2009
- **Last updated:** 09/04/2009