Organization
ROCKWALL MEMORY CARE, LLC
Active
Other names
Autumn Leaves of Rockwall
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHAD ANDERSON (PRESIDENT)
(214) 845-4500
Entity
Organization
Contact information
Practice address
225 E RALPH HALL PARKWAY, ROCKWALL, TX 75032
(469) 402-1883
(469) 402-1888
Mailing address
545 E JOHN CARPENTER FWY, SUITE 500, IRVING, TX 75062-3931
(214) 845-4500
(214) 845-4501
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
104597
TX
Other
Enumeration date
03/07/2012
Last updated
03/07/2012
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