Organization
ROSIALYLLC DBA GARLAND ADULT CARE CENTER
Active
Other names
No
Organization subpart
No
Provider details
NPI number
Authorized official
ROSE LE (DIRECTOR)
(972) 834-7989
Entity
Organization
Contact information
Practice address
3845 N. GARLAND AVE, 700B, GARLAND, TX 75040
(469) 233-0289
Mailing address
3845 N. GARLAND AVE, SUITE 700B, GARLAND, TX 75040
(469) 298-0205
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
147020
LICENSE NUMBER
TX
Enumeration date
04/11/2017
Last updated
11/02/2020
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