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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. ROOSEVELT KING JR.

Active Sole Proprietor

Assisted Living Facility · DALLAS, TX

Registration Details

NPI Number
1659568905
Provider Type
Individual
Gender
Male
NPI Issued
Oct 1, 2007 (18.556293702276 yrs)
Last Updated
Oct 1, 2007
License
119896 (TX)
Sole Proprietor
Yes

Practice Information

Address
2923 GLADIOLUS LN
DALLAS, TX, 752333905
Browse TX providers · Browse ZIP 75233
Phone
2148082608
Fax
2143313086
Primary Specialty
Assisted Living Facility
310400000X

Other Assisted Living Facility Providers in DALLAS, TX

Name Credential NPI
ZEFFERINE BROOMSEY 1720124282
BARBARA JEAN COLE 1194869636
MRS. MARY SUE KEBBEH 1780883348
MS. JENNIFER PETERSON 1013223494
SHAMBRESHA LANETTE SEWELL 1659649317
MS. PAMELA ANN CHARLES 1043614423
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.