OrganizationActive
A Destiny'S Rose Hcs, Inc.
NPI 1023557840 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Dallas, TX
Provider details
- NPI number
- 1023557840
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Toni Martin-Moore, Administrator(214) 778-7228
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Residential Treatment Facilities
Practice location
6330 S Lancaster Rd
Dallas, TX 75241-3800
Phone: (214) 778-7228
Fax: (214) 377-5009
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 543174
Grand Prairie, TX 75054
Registry dates
- Enumerated
- 2017-02-13
- Last updated
- 2021-12-03
- Certified
- 2021-12-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.