Organization
ATRIA GRAPEVINE
Active
Other names
Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BILLY RAY REDMON JR. (EXECUTIVE DIRECTOR)
(817) 416-8907
Entity
Organization
Contact information
Practice address
3975 WILLIAM D TATE AVE, GRAPEVINE, TX 76051-7109
(817) 416-8907
(817) 421-9792
Mailing address
3975 WILLIAM D TATE AVE, GRAPEVINE, TX 76051-7109
(817) 416-8907
(817) 421-9792
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
030384
TX
Other
Enumeration date
03/26/2010
Last updated
03/26/2010
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