Individual provider · Type 1 NPI
Fredica Kiawu
Assisted Living Facility · Mesquite, TX
NPI number
1396154068
Active
Practice location
1400 Parkwood Trail
Mesquite, TX 75149
Fax (972) 222-9039
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | 139977 (TX) |
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.
Other assisted living facility providers in Mesquite
About NPI 1396154068
Fredica Kiawu's National Provider Identifier is 1396154068, issued on Aug 7, 2014. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Mesquite, TX. The record was last updated on Aug 7, 2014.