Provider Demographics
NPI:1194931188
Name:TOWN HALL ADULT DAY CARE OAK CLIFF INC
Entity type:Organization
Organization Name:TOWN HALL ADULT DAY CARE OAK CLIFF INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CORPORATE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CHERI
Authorized Official - Middle Name:BETH
Authorized Official - Last Name:CHONG
Authorized Official - Suffix:
Authorized Official - Credentials:MA, PHD
Authorized Official - Phone:817-437-6657
Mailing Address - Street 1:226 E 10TH ST
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75203-2238
Mailing Address - Country:US
Mailing Address - Phone:214-948-8892
Mailing Address - Fax:214-943-7248
Practice Address - Street 1:226 E 10TH ST
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75203-2238
Practice Address - Country:US
Practice Address - Phone:214-948-8892
Practice Address - Fax:214-943-7248
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX117378385H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care