King, Roosevelt

King, Roosevelt is an sole proprietor health care provider with primary practice located at 2923 Gladiolus Ln , Dallas TX 75233-3905. He recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as his primary health care specialty. King, Roosevelt can be contacted via phone (214) 808-2608.

Contact Information

Primary practice address
2923 Gladiolus Ln Dallas TX 75233-3905
Phone: (214) 808-2608
Fax: (214) 331-3086
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 119896 Texas

Profile Details

NPI number 1659568905
LBN Legal business name King, Roosevelt
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 1st, 2007
Last updated Oct 1st, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers