NPI 1164995387

Red Maple Residential Care, LLC

Organisation Health Maintenance Organization Dallas, TX

Practice location

Address: 7111 Blackwillow Ln, Dallas, TX 75249-1427
Phone: (972) 674-0307

Authorised official

Name: Ahmed Haruna
Title: Manager
Phone: (469) 248-2319

Registered specialties (2)

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X

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Adult Care Home Facility

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X

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Registry record

NPI: 1164995387
Entity type: Organization
NPI issued: 10 Jan 2019
Record last updated: 18 Jul 2019

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.