MEDICARE: ORA TURNER

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	320700000X	Physical Disabilities Residential Treatment Facility	118252	TX

General Provider Information

NPI Number	:	1598889784
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ORA TURNER

Provider Business Mailing Address
First Line	:	5822 LAKE PLACID DR
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75232-2342
Country	:	US
Telephone Number	:	214-374-3998
Fax Number	:

Provider Business Practice Location Address
First Line	:	5822 LAKE PLACID DR
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75232-2342
Country	:	US
Telephone Number	:	214-374-3998
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MS. ORA LEE TURNER
Credential	:
Telephone Number	:	214-374-3998

Provider Enumeration Date	:	03/16/2007
Last Update Date	:	07/02/2008

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