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Organization

SIMPLE RESIDENTIAL CARE LTD. CO

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHAHIDAA ABDULLAH (OWNER)
(817) 808-5630
Entity
Organization

Contact information

Practice address
109 SPRINGRIDGE LN, EULESS, TX 76039-8031
(817) 808-5630
(877) 335-9334
Mailing address
109 SPRINGRIDGE LN, EULESS, TX 76039-8031
(817) 808-5630
(877) 335-9334

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary

Other

Enumeration date
06/30/2015
Last updated
06/30/2015
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