MG AL GRAND PRAIRIE LLC is an assisted living facility in Grand Prairie, TX. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. MG AL GRAND PRAIRIE LLC NPI is 1790309482. The provider is registered as an organization entity type.
The provider Is Doing Business As Mayberry Gardens.
The provider's business location address is:
540 E POLO RD BLDG 3
GRAND PRAIRIE, TX
ZIP 75052-503
Phone: (972) 975-9044
The provider's authorized official is Adrian Hewitt .
The authorized official title is Owner and has the following contact phone number (972) 213-8135.
The CLIA number assigned to this NPI record is 45D2206203 - assisted living facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 5/29/2020 and was last updated on 6/10/2020.