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Organization

GWENS PLACE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. GWENNETTA MARIE WOOLDRIDGE (REGISTERED NURSE)
(972) 286-1383
Entity
Organization

Contact information

Practice address
12023 BISHOP DR, BALCH SPRINGS, TX 75180-3313
(972) 286-1383
Mailing address
12023 BISHOP DR, BALCH SPRINGS, TX 75180-3313
(972) 286-1383

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
119508
TX

Other

Enumeration date
03/21/2007
Last updated
09/04/2007
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