Provider Demographics
NPI:1659519163
Name:D & F RESIDENTIAL LIVING
Entity Type:Organization
Organization Name:D & F RESIDENTIAL LIVING
Other - Org Name:D & F RESIDENTIAL LIVING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:DOUGHTY
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-230-5493
Mailing Address - Street 1:860 WINDY MEADOW DR
Mailing Address - Street 2:
Mailing Address - City:DESOTO
Mailing Address - State:TX
Mailing Address - Zip Code:75115-7535
Mailing Address - Country:US
Mailing Address - Phone:972-230-5493
Mailing Address - Fax:
Practice Address - Street 1:860 WINDY MEADOW DR
Practice Address - Street 2:
Practice Address - City:DESOTO
Practice Address - State:TX
Practice Address - Zip Code:75115-7535
Practice Address - Country:US
Practice Address - Phone:972-230-5493
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-22
Last Update Date:2009-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX302F00000X302F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization