Organization
MS. BETTY'S PLACE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD HYDER (OWNER)
(315) 664-5335
Entity
Organization
Contact information
Practice address
816 GREEN COVE LN, DALLAS, TX 75232-1638
(315) 664-5335
Mailing address
816 GREEN COVE LN, DALLAS, TX 75232-1638
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/06/2017
Last updated
02/06/2017
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