45D0479414 CLIA NUMBER - JULIETTE FOWLER HOMES INC

Laboratory Demographics

CLIA Number: 45D0479414

Facility Name: JULIETTE FOWLER HOMES INC

Facility Address:
1260 ABRAMS ROAD
DALLAS, TX
ZIP 75214
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Facility Phone Number: 214 827-0813

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver

NPI Number: 1164646287

Taxonomy: 314000000X - Skilled Nursing Facility
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

CLIA Record

Field Name	Field Value
CLIA Number	45D0479414
LAB Type	Skilled Nursing Facility/Nursing Facility
Facility Name	JULIETTE FOWLER HOMES INC
Street	1260 ABRAMS ROAD
City	DALLAS
State	TX
ZIP	75214
Phone	214 827-0813
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024