Organization
FOUNDATIONPLUS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAFFALEY LAYNE EVANS (OWNER)
(469) 463-8118
Entity
Organization
Contact information
Practice address
3204 SHARPVIEW LN, DALLAS, TX 75228-6060
(469) 463-8118
Mailing address
3204 SHARPVIEW LN, DALLAS, TX 75228-6060
(469) 463-8118
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/05/2010
Last updated
08/05/2010
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