Organization
ANI ASSISTED LIVING FACILITY LIMITED LIABILITY COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ORITSEBEMIGHO EDEGBELE (ADMINISTRATOR)
(972) 228-4100
Entity
Organization
Contact information
Practice address
1145 RANCH VALLEY DR, DESOTO, TX 75115-3524
(972) 228-4100
(972) 228-4100
Mailing address
1145 RANCH VALLEY DR, DESOTO, TX 75115-3524
(972) 228-4100
(972) 228-4100
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
12/05/2012
Last updated
12/05/2012
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