Organization
THE BRIDGE AT FAIR PARK, LLC
Active
Organization
THE BRIDGE AT FAIR PARK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA WATKINS (EXECUTIVE DIRECTOR)
(214) 565-7823
Entity
Organization
Contact information
Practice address
2535 MARTIN LUTHER KING JR BLVD, DALLAS, TX 75215-2306
(214) 565-7823
(214) 565-0246
Mailing address
2535 MARTIN LUTHER KING JR BLVD, DALLAS, TX 75215-2306
(214) 565-7823
(214) 565-0246
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102501
ADULT DAY CARE FACILITY #
TX
01
—
119241
ADULT DAY CARE LICENSE #
TX
Enumeration date
02/27/2007
Last updated
07/16/2024
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