Organization
RISING SUN RESIDENTIAL CARE FACILITY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONYA C ROBERTS LVN (MANAGER)
(469) 245-4990
Entity
Organization
Contact information
Practice address
419 BUCKINGHAM PL, DESOTO, TX 75115-5605
(972) 230-8828
Mailing address
325 SQUIREBROOK DR, DESOTO, TX 75115-2914
(469) 245-4990
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
10/17/2008
Last updated
08/13/2009
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