Organization
FCN OF TEXAS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEMETRA L DONALDSON (EXECUTIVE DIRECTOR)
(469) 774-3053
Entity
Organization
Contact information
Practice address
1229 E PLEASANT RUN RD, SUITE 124, DESOTO, TX 75115-4209
(469) 774-3053
Mailing address
1229 E PLEASANT RUN RD, SUITE 124, DESOTO, TX 75115-4209
(469) 774-3053
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
TX
310500000X
Mental Illness Intermediate Care Facility
—
TX
Other
Enumeration date
10/03/2013
Last updated
10/03/2013
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