Organization
MG AL DENTON LLC DBA MAYBERRY GARDENS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADRIAN HEWITT (OWNER)
(972) 213-8135
Entity
Organization
Contact information
Practice address
3636 TEASLEY LN, DENTON, TX 76210-8470
(940) 600-4178
Mailing address
3636 TEASLEY LN, DENTON, TX 76210-8470
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
08/27/2019
Last updated
08/27/2019
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