Organization
FITNESS COMMUNITIES OF AMERICA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERY LAWRENCE (OWNER)
(214) 577-2366
Entity
Organization
Contact information
Practice address
740 WHITE ASH RD, DESOTO, TX 75115-5851
(214) 577-2366
Mailing address
740 WHITE ASH RD, DESOTO, TX 75115-5851
(214) 577-2366
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/16/2012
Last updated
06/16/2012
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