Organization
GLEN OAKS ASSISTING LIVING HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSE JALLOW (MANAGER)
(214) 374-1830
Entity
Organization
Contact information
Practice address
905 MISTY GLEN LN, DALLAS, TX 75232-1609
(214) 374-1830
Mailing address
905 MISTY GLEN LN, DALLAS, TX 75232-1609
(214) 374-1830
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
121001
TX
Other
Enumeration date
07/22/2008
Last updated
07/22/2008
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