MEDICARE: JR DEVELOPMENT GROUP LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	3104A0630X	Assisted Living Facility (Behavioral Disturbances)
2	3104A0625X	Assisted Living Facility (Mental Illness)
3	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1598446155
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JR DEVELOPMENT GROUP LLC

Provider Business Mailing Address
First Line	:	1517 GAILBROOK LN
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75228-5125
Country	:	US
Telephone Number	:	214-927-3491
Fax Number	:

Provider Business Practice Location Address
First Line	:	7040 CARTER RD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75217-5931
Country	:	US
Telephone Number	:	214-927-3491
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	JEAN ROGERS LONG
Credential	:
Telephone Number	:	214-927-3491

Provider Enumeration Date	:	07/27/2023
Last Update Date	:	12/09/2025

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Directions to “JR DEVELOPMENT GROUP LLC ” Practice Location

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