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Organization

ESTATE LIVING PLACE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOSE J MALIYIL (OWNER)
(972) 523-1024
Entity
Organization

Contact information

Practice address
537 ESTATE DR, GRAND PRAIRIE, TX 75052-6712
(972) 523-1024
Mailing address
5111 FINNHORSE DR, GRAND PRAIRIE, TX 75052-2563
(972) 523-1024

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary

Other

Enumeration date
07/11/2009
Last updated
07/11/2009
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