Alice Place Medical Care Services
Alice Place Medical Care Services is a Community/Behavioral Health Agency in Grand Prairie, Texas. Registered with an NPI since 2021.
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
2719 La Jolla BlvdGrand Prairie, TX 75054-0299
Phone: (469) 756-7021
Fax: (469) 502-3622
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X |
|---|---|
| Community/Behavioral Health Agency | Taxonomy 251S00000X |
Record details
| NPI number | 1710654900 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Monnie Adereti — Ceo · (469) 756-7021 |
| NPI enumerated | August 25, 2021 |
| Last updated in NPPES | December 28, 2021 |
| Certification date | December 28, 2021 |
| Mailing address | 2719 La Jolla Blvd, Grand Prairie, TX 75054-0299 |
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