Lakezia Ann Achila, CEO
Assisted Living Facility in Desoto, TX. Individual provider (NPI-1).
NPI number1821562729
StatusActive
Last updated in NPPESOct 15, 2024
Details
- NPI
- 1821562729
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Lakezia Ann Achila
- Credential
- CEO
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 14, 2019
- Certification date
- Oct 15, 2024
- Last updated
- Oct 15, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | 102991 | TX | Yes |
Practice location
820 E Wintergreen RdDesoto, TX 75115-2502
Phone 972-522-8909
Mailing address
7312 DarsenaGrand Prairie, TX 75054-6501
Phone 972-522-8909
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