Provider Demographics
NPI:1649409574
Name:LE' DE'S ASSISTED LIVING
Entity Type:Organization
Organization Name:LE' DE'S ASSISTED LIVING
Other - Org Name:FREEMAN'S ASSISTED LIVING
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:THERESA
Authorized Official - Middle Name:YVONNE
Authorized Official - Last Name:LEDAY-FREEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-310-9857
Mailing Address - Street 1:7820 LONGBOW LN
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76002-4563
Mailing Address - Country:US
Mailing Address - Phone:817-453-2799
Mailing Address - Fax:
Practice Address - Street 1:6735 SECO BLVD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75217-1230
Practice Address - Country:US
Practice Address - Phone:214-774-9592
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-13
Last Update Date:2012-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX135610310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility