Organization
QUALITY CONTRACTED MARKETERS
Active
Other names
Care For Liz
Organization subpart
No
Provider details
NPI number
Authorized official
DETRA THOMAS (OWNER)
(469) 328-1042
Entity
Organization
Contact information
Practice address
5603 MOUNTAIN HOLLOW DR, DALLAS, TX 75249-2028
(469) 328-1042
Mailing address
5603 MOUNTAIN HOLLOW DR, DALLAS, TX 75249-2028
(469) 328-1042
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
310400000X
Assisted Living Facility
—
—
311Z00000X
Custodial Care Facility
Primary
—
—
311ZA0620X
Adult Care Home Facility
—
—
Other
Enumeration date
05/20/2015
Last updated
05/20/2015
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