Organization
TELESIS-AUTUMN LEAVES I, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BETTY Y. JANKO (SECRETARY)
(214) 826-6870
Entity
Organization
Contact information
Practice address
1010 EMERALD ISLE DR, DALLAS, TX 75218-3980
(214) 328-4161
(214) 319-9184
Mailing address
1010 EMERALD ISLE DR, DALLAS, TX 75218-3980
(214) 328-4161
(214) 319-9184
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
000108
TX
Other
Enumeration date
07/21/2005
Last updated
05/20/2010
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