NPI 1013268838

Cold Water Creek Residential LLC

Organisation Adult Care Home Facility Arlington, TX

Practice location

Address: 1610 Mt Zion Dr, Arlington, TX 76018-3090
Phone: (214) 226-4037
Fax: (817) 763-0315

Authorised official

Name: Mazvita Matselele
Title: Owner
Phone: (214) 226-4037

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X

Other Custodial Care Facility providers in Texas →

Registry record

NPI: 1013268838
Entity type: Organization
NPI issued: 20 Sep 2012
Record last updated: 27 Sep 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.