Organization
A PLACE LIKE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUCAS MAIN (MANAGING MEMBER)
(817) 504-3710
Entity
Organization
Contact information
Practice address
4217 FOXBOROUGH TRL, ARLINGTON, TX 76001-2904
(817) 516-5363
Mailing address
4217 FOXBOROUGH TRL, ARLINGTON, TX 76001-2904
(817) 516-5363
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
04/18/2013
Last updated
04/18/2013
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