Organization
RADIANT REFLECTIONS RESIDENTIAL LC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JAMIE CHANEL-LASHUN DANIELS (CEO)
(346) 599-4010
Entity
Organization
Contact information
Practice address
9535 FOREST LN STE 119, DALLAS, TX 75243-6120
(346) 599-4010
Mailing address
9535 FOREST LN STE 119, DALLAS, TX 75243-6120
(346) 599-4010
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
251E00000X
Home Health Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
275N00000X
Medicare Defined Swing Bed Hospital Unit
—
—
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
—
—
310400000X
Assisted Living Facility
Primary
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
310500000X
Mental Illness Intermediate Care Facility
—
—
311500000X
Alzheimer Center (Dementia Center)
—
—
311ZA0620X
Adult Care Home Facility
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
Other
Enumeration date
04/16/2024
Last updated
04/16/2024
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