Organization
LIFESPAN RESOURCES OF TEXAS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIEZO DEVOTNAE ADKISON LVN, RAC-CT, CNAC (DIRECTOR OF OPERATIONS)
(682) 433-9750
Entity
Organization
Contact information
Practice address
3918 S DENLEY DR, DALLAS, TX 75216-5617
(682) 433-9750
Mailing address
3918 S DENLEY DR, DALLAS, TX 75216-5617
(682) 433-9750
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/04/2009
Last updated
09/04/2009
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