Organization
A HOME OF YOUR OWN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REGENIA MARSHALL (OWNER)
(214) 679-2152
Entity
Organization
Contact information
Practice address
9822 AMBERTON PKWY, DALLAS, TX 75243-2016
(214) 679-2152
Mailing address
9822 AMBERTON PKWY, DALLAS, TX 75243-2016
(214) 679-2152
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
10/15/2014
Last updated
10/15/2014
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