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Organization

LIFESTYLE PERSONAL CARE SERVICE

Active
Parent organization
LIFESPAN RESOURCES OF TEXAS INC
Organization subpart
Yes

Provider details

NPI number
Legal business name
LIFESPAN RESOURCES OF TEXAS INC
Authorized official
MR. DESMEIOUN L ALDRIDGE (DIRECTOR OF BUSINESS SERVICES)
(214) 553-0277
Entity
Organization

Contact information

Practice address
9304 FOREST LANE SUITE N271, DALLAS, TX 75243
(214) 553-0277
(972) 584-9905
Mailing address
9304 FOREST LN STE N271, DALLAS, TX 75243-6238
(214) 553-0277
(972) 584-9905

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary

Other

Enumeration date
11/17/2011
Last updated
11/17/2011
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