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INDEPENDENT LIFE ANNEX NPI 1831746643


NPI Information

NPI: 1831746643
Provider Name: INDEPENDENT LIFE ANNEX
Classification: Assisted Living Facility - 3104A0625X
Entity Type: Organization

Specialization: Assisted Living, Mental Illness

Address:
6610 GREENSPRING DR
ARLINGTON, TX
ZIP 76016
Phone: (469) 712-4452
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INDEPENDENT LIFE ANNEX is an assisted living and mental illness assisted living facility in Arlington, TX. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. INDEPENDENT LIFE ANNEX NPI is 1831746643. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6610 GREENSPRING DR
ARLINGTON, TX
ZIP 76016-134
Phone: (469) 712-4452

The provider's authorized official is Dedric Ashley .
The authorized official title is Owner and has the following contact phone number (469) 712-4452.

The enumeration date for this NPI number is 8/26/2019 and was last updated on 8/26/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1372600000XAdult CompanionNo
23104A0625XAssisted Living FacilityAssisted Living, Mental IllnessYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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