Organization
LIFECENTER SKILLS FOR DEVELOPMENT
Active
Parent organization
LIFESPAN RESOURCES OF TEXAS
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIFESPAN RESOURCES OF TEXAS
Authorized official
MR. TEIZO DEVOTNAE ADKISON (CHIEF EXECUTIVE OFFICER)
(469) 438-2574
Entity
Organization
Contact information
Practice address
9304 FOREST LANE, SUITE N271, DALLAS, TX 75243
(469) 438-2574
(972) 584-9905
Mailing address
9304 FOREST LANE, SUITE N271, DALLAS, TX 75243
(469) 438-2574
(972) 584-9905
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
—
Other
Enumeration date
10/31/2011
Last updated
10/31/2011
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