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Organization

NEW BEGININGS RESIDENTIAL ASSIST LIVING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LATOSHA ANTIONETTE JONES (OWNER)
(972) 510-3133
Entity
Organization

Contact information

Practice address
2803 RIVERSIDE PKWY APT 5404, GRAND PRAIRIE, TX 75050-8748
(972) 510-3133
Mailing address
2803 RIVERSIDE PKWY APT 5404, GRAND PRAIRIE, TX 75050-8748
(972) 510-3133

Taxonomy

Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary

Other

Enumeration date
10/06/2014
Last updated
10/06/2014
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