Individual
MRS. LACINDER ROSEANN KING-FULTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PROGRAM DIRECTOR
Contact information
Practice address
5787 S HAMPTON RD STE 203, DALLAS, TX 75232-2255
(469) 478-0573
Mailing address
5787 S HAMPTON RD STE 203, DALLAS, TX 75232-2255
(469) 478-0573
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
253Z00000X
In Home Supportive Care Agency
—
—
311Z00000X
Custodial Care Facility
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
372600000X
Adult Companion
—
—
Other
Enumeration date
06/22/2020
Last updated
03/23/2026
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