Organization
D&D RESIDENTIAL SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUCKY OMIUNU (CEO)
(817) 715-6581
Entity
Organization
Contact information
Practice address
2952 CELIAN DR, GRAND PRAIRIE, TX 75052-8737
(817) 715-6581
(817) 375-0820
Mailing address
2952 CELIAN DR, GRAND PRAIRIE, TX 75052-8737
(817) 715-6581
(817) 375-0820
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
674997
TX
Other
Enumeration date
08/20/2009
Last updated
08/20/2009
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