NPI 1083929780

Family Faith Residential Care

Organisation Adult Care Home Facility Dallas, TX

Practice location

Address: 7104 Cloverglen Dr, Dallas, TX 75249-1433
Phone: (972) 523-5043
Mailing address: 821 Quail Run Ln, Lancaster, TX 75146-2844

Authorised official

Name: Latonia Jennings
Title: Program Director
Phone: (972) 523-5043

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence 001009005 (TX)

Other Custodial Care Facility providers in Texas →

Registry record

NPI: 1083929780
Entity type: Organization
NPI issued: 18 Aug 2010
Record last updated: 18 Aug 2010

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.