A Way Of Life Services
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Dallas, TX. Organization (NPI-2).
NPI number1306436647
StatusActive
Last updated in NPPESAug 8, 2023
Details
- NPI
- 1306436647
- Entity type
- Organization (NPI-2)
- Legal business name
- A Way Of Life Services
- Organization subpart
- No
- Enumeration date
- Jan 20, 2021
- Certification date
- Jan 27, 2021
- Last updated
- Aug 8, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | Yes |
| 251C00000X | Day Training, Developmentally Disabled Services | – | – | |
| 253Z00000X | In Home Supportive Care | – | – |
Practice location
3455 Highland Rd # 101Dallas, TX 75228-7193
Phone 469-735-5852 · Fax 469-941-4158
Mailing address
8501 Baumgarten DrDallas, TX 75228-5416
Phone 469-735-5852 · Fax 469-941-4158
Authorized official
Larrymi D Mathis
Ceo
4697353395
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