person
Mr. Roosevelt King JR.
Assisted Living Facility in Dallas, Texas
NPI 1659568905

Roosevelt King JR. is an Assisted Living Facility based in Dallas, TX. Roosevelt King JR. practices in Dallas, TX. The NPI Number for Roosevelt King JR. is 1659568905 and holds a License No. 119896 (Texas).

The current practice location address for Roosevelt King JR. is 2923 Gladiolus Ln, Dallas, TX and can be reached out via phone at 214-808-2608 and via fax at 214-331-3086.

Location: 2923 Gladiolus Ln, Dallas, TX, 75233-3905
person
Provider Profile Details
NPI Number
1659568905
Provider Name
Roosevelt King JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
2923 Gladiolus Ln, Dallas, TX, 75233-3905
Phone Number
214-808-2608
Fax Number
214-331-3086
Provider Enumeration Date
10/01/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2923 Gladiolus Ln
City
State
Zip
75233-3905
Phone Number
214-808-2608
Fax Number
214-331-3086
person
Provider Business Mailing Address Details
Address
2923 Gladiolus Ln
City
State
Zip
75233-3905
Phone Number
214-808-2608
Fax Number
214-331-3086
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
License No.
119896 (Texas)
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
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