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ALL AMERICAN FUN FACTORY (AAFF) NPI 1386977908


NPI Information

NPI: 1386977908
Provider Name: ALL AMERICAN FUN FACTORY (AAFF)

Doing Business As: GABRIEL'S GATEWAY

Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization
Address:
530 RISING RIDGE DR
DESOTO, TX
ZIP 75115
Phone: (469) 865-9209
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ALL AMERICAN FUN FACTORY (AAFF) is a residential treatment facility, intellectual and/or developmental disabilities in Desoto, TX. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. ALL AMERICAN FUN FACTORY (AAFF) NPI is 1386977908. The provider is registered as an organization entity type.
The provider Is Doing Business As Gabriel's Gateway.

The provider's business location address is:

530 RISING RIDGE DR
DESOTO, TX
ZIP 75115-860
Phone: (469) 865-9209

The provider's authorized official is Kiesha Mazin Easterling .
The authorized official title is Program Manager and has the following contact phone number (469) 865-9209.

The enumeration date for this NPI number is 9/14/2009 and was last updated on 9/14/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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