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Raquel Long
Adult Care Home Facility in Dallas, Texas
NPI 1356716682

Raquel Long is an Adult Care Home Facility based in Dallas, TX and is specialized in Adult Care Home. Raquel Long practices in Dallas, TX. The NPI Number for Raquel Long is 1356716682 and holds a License No. (Texas).

The current practice location address for Raquel Long is 210 W Pembroke Ave, Dallas, TX and can be reached out via phone at 469-844-8424.

Location: 210 W Pembroke Ave, Dallas, TX, 75208-6727
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356716682
Provider Name
Raquel Long
Credential
Provider Entity Type
Individual
Gender
Female
Address
210 W Pembroke Ave, Dallas, TX, 75208-6727
Phone Number
469-844-8424
Fax Number
Provider Enumeration Date
12/11/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
210 W Pembroke Ave
City
Dallas
State
Texas
Zip
75208-6727
Phone Number
469-844-8424
Fax Number
person
Provider Business Mailing Address Details
Address
210 W Pembroke Ave
City
Dallas
State
Texas
Zip
75208-6727
Phone Number
469-844-8424
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
()
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
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