Organization
CEDAR RIDGE HEALTHCARE SYSTEM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EMMANUEL O AKARA MBA, RN (DIRECTOR)
(925) 413-6139
Entity
Organization
Contact information
Practice address
7231 TOLOSA, GRAND PRAIRIE, TX 75054-6740
(925) 413-6139
(817) 592-3271
Mailing address
7231 TOLOSA, GRAND PRAIRIE, TX 75054-6740
(925) 413-6139
(817) 592-3271
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
782812
TX
311500000X
Alzheimer Center (Dementia Center)
782812
TX
Other
Enumeration date
01/15/2013
Last updated
01/15/2013
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