Organization · Type 2 NPI
Autumn Haven Residential Facility
Assisted Living Facility · Dallas, TX
NPI number
1710692736
Active
Practice location
2507 Earlcove Dr
Dallas, TX 75227-7817
Fax (972) 637-9225
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | None listed |
| Assisted Living Facility (Mental Illness) | 3104A0625X | None listed |
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | 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 1710692736
Autumn Haven Residential Facility's National Provider Identifier is 1710692736, issued on Jan 16, 2023. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Dallas, TX. The record was last updated on Jan 16, 2023.