Individual provider · Type 1 NPI
Glaster Wheeler Hicks
Assisted Living Facility · Dallas, TX
NPI number
1790444834
Active
Practice location
5117 Rocky Ridge Rd
Dallas, TX 75241-1023
Mailing address
PO Box 398706
Dallas, TX 75339-8706
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | 308453 (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.
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About NPI 1790444834
Glaster Wheeler Hicks's National Provider Identifier is 1790444834, issued on Dec 16, 2021. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Dallas, TX. The record was last updated on Dec 16, 2021.