Organization
A ROOSEVELT RESIDENTIAL CARE
Active
Other names
A. Roosevelt Residential Care
Organization subpart
No
Provider details
NPI number
Authorized official
GLASTER WHEELER HICKS (OWNER/MANAGER)
(214) 850-8318
Entity
Organization
Contact information
Practice address
5117 ROCKY RIDGE RD, DALLAS, TX 75241-1023
(214) 434-1583
Mailing address
PO BOX 398706, DALLAS, TX 75339-8706
(214) 850-8318
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
09/21/2022
Last updated
09/21/2022
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