Individual
DONETTE LAVELL ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ADMINISTRATOR
Contact information
Practice address
14860 LEDGEVIEW CT, BALCH SPRINGS, TX 75180-4320
(469) 258-9142
(972) 692-5759
Mailing address
14860 LEDGEVIEW CT, BALCH SPRINGS, TX 75180-4320
(469) 258-9142
(972) 692-5759
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
11/17/2011
Last updated
11/17/2011
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