Individual
TONIEA C MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3805 SCOTT DR, ROWLETT, TX 75088-5846
(214) 929-3116
Mailing address
3805 SCOTT DR, ROWLETT, TX 75088
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
311500000X
Alzheimer Center (Dementia Center)
—
—
Other
Enumeration date
08/14/2017
Last updated
08/14/2017
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