Organization
TVWC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMALAR GAYE WASHINGTON (ADMINISTRATOR)
(972) 358-1026
Entity
Organization
Contact information
Practice address
733 NORA LN, DESOTO, TX 75115-5530
(972) 358-1026
(972) 223-7538
Mailing address
733 NORA LN, DESOTO, TX 75115-5530
(972) 358-1026
(972) 223-7538
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
04/19/2010
Last updated
04/19/2010
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