Organization
STELLA RD ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AVIS L YOUNG SR. (OWNER)
(214) 942-3215
Entity
Organization
Contact information
Practice address
1847 STELLA AVE, DALLAS, TX 75203-4225
(214) 948-1399
Mailing address
1847 STELLA AVE, DALLAS, TX 75203-4225
(214) 948-1399
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
121668
TX
Other
Enumeration date
10/31/2007
Last updated
10/31/2007
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