Organization
FREDISOLO ANNOINTED HOMES
Active
Organization
FREDISOLO ANNOINTED HOMES
Active
Other names
FREDISOLO ANNOINTED HOMES
Organization subpart
No
Provider details
NPI number
Authorized official
FREDICA KIAWU LVN (DIRECTOR)
(214) 753-9396
Entity
Organization
Contact information
Practice address
1400 PARKWOOD TRL, MESQUITE, TX 75149-7604
(214) 753-9396
(972) 222-9039
Mailing address
1400 PARKWOOD TRL, MESQUITE, TX 75149-7604
(214) 753-9396
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105435
—
TX
Enumeration date
08/25/2020
Last updated
10/16/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up