Provider Demographics
NPI:1780821314
Name:DIAL-DEVELOPING INDEPENDENT ADULT LIVING
Entity Type:Organization
Organization Name:DIAL-DEVELOPING INDEPENDENT ADULT LIVING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARTY
Authorized Official - Middle Name:
Authorized Official - Last Name:RINGLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-319-8982
Mailing Address - Street 1:3189 WESTCLIFF RD W
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76109-2129
Mailing Address - Country:US
Mailing Address - Phone:817-319-8982
Mailing Address - Fax:817-921-0033
Practice Address - Street 1:3189 WESTCLIFF RD W
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76109-2129
Practice Address - Country:US
Practice Address - Phone:817-319-8982
Practice Address - Fax:817-921-0033
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-20
Last Update Date:2009-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX385H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care