A Destiny'S Rose Hcs, INC.
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Dallas, TX. Organization (NPI-2).
NPI number1023557840
StatusActive
Last updated in NPPESDec 3, 2021
Details
- NPI
- 1023557840
- Entity type
- Organization (NPI-2)
- Legal business name
- A Destiny'S Rose Hcs, INC.
- Organization subpart
- No
- Enumeration date
- Feb 13, 2017
- Certification date
- Dec 3, 2021
- Last updated
- Dec 3, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | Yes |
| 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – |
Practice location
6330 S Lancaster RdDallas, TX 75241-3800
Phone 214-778-7228 · Fax 214-377-5009
Mailing address
Po Box 543174Grand Prairie, TX 75054
Phone 214-778-7228 · Fax 214-377-5009
Authorized official
Toni M Martin-Moore
Administrator
2147787228
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