Individual provider · Type 1 NPI
Pamela Ann Charles
Assisted Living Facility · Dallas, TX
NPI number
1043614423
Active
Practice location
7211 Harold Walker Dr
Dallas, TX 75241-4416
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | None listed |
| Assisted Living Facility (Mental Illness) | 3104A0625X | None listed |
| Custodial Care Facility | 311Z00000X | None listed |
| Adult Care Home Facility | 311ZA0620X | None listed |
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | None 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 1043614423
Pamela Ann Charles's National Provider Identifier is 1043614423, issued on Oct 14, 2014. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Dallas, TX. The record was last updated on Oct 19, 2014.