Rising Sun Residential Care Facility INC

NPI #1194977488 in Desoto, Texas

Provider Information

NPI Number
1194977488
Entity Type
Organization
Organization Name
Rising Sun Residential Care Facility INC
Primary Specialty
Intermediate Care Facility, Intellectual Disabilities
Enumeration Date
Oct 17, 2008
Last Updated
Aug 13, 2009

Practice Location

Address
419 BUCKINGHAM PL
City
Desoto
State
Texas
ZIP Code
75115-5605
Phone
(972) 230-8828

Authorized Official

Name
TONYA C ROBERTS, LVN
Title
MANAGER
Phone
(469) 245-4990

Specialties & Taxonomy Codes

Specialty
Intermediate Care Facility, Intellectual Disabilities

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