Five Star Quarters INC.
Residential Treatment Facility, Physical Disabilities in Dallas, TX. Organization (NPI-2).
NPI number1609045558
StatusActive
Last updated in NPPESJul 30, 2008
Details
- NPI
- 1609045558
- Entity type
- Organization (NPI-2)
- Legal business name
- Five Star Quarters INC.
- Organization subpart
- No
- Enumeration date
- Feb 25, 2008
- Last updated
- Jul 30, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320700000X | Residential Treatment Facility, Physical Disabilities | 122690 | TX | Yes |
Other names
- Five Star Quarters (Other Name)
Practice location
4023 Mehalia DrDallas, TX 75241-5253
Phone 972-225-8872
Mailing address
4023 Mehalia DriveDallas, TX 75241
Phone 972-225-8872
Authorized official
Paul Donald Love
Manager
9722258872
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