Organization
THE AVENUES OF PARK FOREST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE WAYNE POWELL JR. (PRESIDENT)
(817) 386-8888
Entity
Organization
Contact information
Practice address
3344 FOREST LN, FARMERS BRANCH, TX 75234-7793
(972) 616-0124
Mailing address
3344 FOREST LN, FARMERS BRANCH, TX 75234-7793
(972) 616-0124
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
141503
TX
Other
Enumeration date
09/27/2016
Last updated
01/31/2019
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