Individual provider · Type 1 NPI

Jennifer Peterson

Assisted Living Facility · Dallas, TX

NPI number 1013223494 Active

Practice location

4160 Clark College Dr.
Dallas, TX 75241

Call (972) 916-1524 Map

Mailing address

4160 Clark College Dr
Dallas, TX 75241

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000XNone listed
Alzheimer Center (Dementia Center) 311500000XNone listed

Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

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About NPI 1013223494

Jennifer Peterson's National Provider Identifier is 1013223494, issued on Aug 24, 2010. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Dallas, TX. The record was last updated on Aug 24, 2010.