# ALICE PLACE HEALTH CARE SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Alice Place Medical Care Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679191779
- **Authorized official:** DR. MONNIE ESTHER ADERETI DNP (FNP)
- **Authorized official phone:** (469) 756-7021

## Contact information

- **Practice address:** 3333 WILLOUBY DR, GRAND PRAIRIE, TX 75052-6129
- **Practice address phone:** (615) 810-5983
- **Mailing address:** 2719 LA JOLLA BLVD, GRAND PRAIRIE, TX 75054-0299
- **Mailing address phone:** (469) 756-7021
- **Mailing address fax:** (469) 502-3622

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 07/06/2020
- **Last updated:** 12/22/2021