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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