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Rising Sun Residential Care Facility INC

Intermediate Care Facility, Intellectual Disabilities in Desoto, TX. Organization (NPI-2).

NPI number1194977488
StatusActive
Last updated in NPPESAug 13, 2009

Details

NPI
1194977488
Entity type
Organization (NPI-2)
Legal business name
Rising Sun Residential Care Facility INC
Organization subpart
No
Enumeration date
Oct 17, 2008
Last updated
Aug 13, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
315P00000X Intermediate Care Facility, Intellectual Disabilities––Yes

Practice location

419 Buckingham Pl
Desoto, TX 75115-5605

Phone 972-230-8828

Mailing address

325 Squirebrook Dr
Desoto, TX 75115-2914

Phone 469-245-4990

Authorized official

Tonya C Roberts
Manager
4692454990

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