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Organization
RESIDENT OF THE GRAYSTONE
Active
Organization
RESIDENT OF THE GRAYSTONE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAHYAHNEETAH WALKER (CEO/OWNER)
(682) 305-2290
Entity
Organization
Contact information
Practice address
1727 OAK VILLAGE BLVD, ARLINGTON, TX 76017
(682) 305-2290
(682) 305-2284
Mailing address
PO BOX 171747, 346, ARLINGTON, TX 76003
(682) 305-2290
(682) 305-2284
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251F00000X
Home Infusion Agency
—
—
253J00000X
Foster Care Agency
—
—
Other
Enumeration date
11/16/2015
Last updated
11/25/2015
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