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Organization

BRIGHT EYES ASSISTED LIVING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. DEANDRA DENISE WILSON (OWNER)
(214) 710-0156
Entity
Organization

Contact information

Practice address
6327 TEAGUE DR, DALLAS, TX 75241-4844
(214) 372-3690
Mailing address
920 GROSS RD APT 1024, MESQUITE, TX 75149-8107
(214) 710-0156

Taxonomy

Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
135796
TX

Other

Enumeration date
12/18/2012
Last updated
12/18/2012
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