NPI 1033831599
Palace 1 Therapeutic Ranch
Practice location
- Address
- 2115 Mesa Wood Dr, Glenn Heights, TX 75154-8583
- Phone
- (469) 235-5443
- Mailing address
- PO Box 2862, Desoto, TX 75123-2862
Authorised official
- Name
- Virginia Irene Wooten-Rush
- Title
- Ceo/Owner
- Phone
- (469) 235-5443
Registered specialties
Developmentally Disabled Services Day Training Agency
Primary
Registry record
- NPI
- 1033831599
- Entity type
- Organization
- NPI issued
- 13 Sep 2022
- Record last updated
- 13 Sep 2022
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.