NPI 1861611790
Dallas County Mhmr
Practice location
- Address
- 408 W 6th St, Irving, TX 75060-4023
- Phone
- (214) 743-6159
- Fax
- (214) 689-6482
- Mailing address
- 1380 River Bend Dr, Dallas, TX 75247-4914
Authorised official
- Name
- Rolanda S Williams
- Title
- Buisness Operations Manager
- Phone
- (214) 743-6159
Registered specialties
Intellectual Disabilities Intermediate Care Facility
Primary
Registry record
- NPI
- 1861611790
- Entity type
- Organization
- NPI issued
- 25 Apr 2007
- Record last updated
- 22 Aug 2020
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.