Organization
GREATER IMPRESSIONS RESIDENTIAL CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LACINDER ROSEANN KING-FULTON LMSW (PROGRAM DIRECTOR)
(469) 478-0573
Entity
Organization
Contact information
Practice address
5787 S HAMPTON RD STE 203, DALLAS, TX 75232-2255
(469) 478-0573
Mailing address
5787 S HAMPTON RD STE 203, DALLAS, TX 75232-2255
(469) 478-0573
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
—
—
311ZA0620X
Adult Care Home Facility
—
—
313M00000X
Nursing Facility/Intermediate Care Facility
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
10/26/2020
Last updated
03/23/2026
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