Individual provider · Type 1 NPI

Raquel Long

Adult Care Home Facility · Dallas, TX

NPI number 1356716682 Active

Practice location

210 W Pembroke Ave
Dallas, TX 75208-6727

Call (469) 844-8424 Map

Specialties and licenses

TaxonomyCodeLicense
Adult Care Home Facility Primary 311ZA0620XNone listed

Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

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About NPI 1356716682

Raquel Long's National Provider Identifier is 1356716682, issued on Dec 11, 2015. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Dallas, TX. The record was last updated on Dec 11, 2015.