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NPI Code Detail

MEDICARE: SENIOR CARE MANGEMENT

MEDICARE: SENIOR CARE MANGEMENT
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
1314000000XSkilled Nursing Facility005113TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1HH2368OTHERTXBCBS

General Provider Information

NPI Number : 1124020250
Entity Type Code : Organization
Provider Name (Legal Business Name) : SENIOR CARE MANGEMENT
Provider Business Mailing Address
First Line : 1413 EAST I 30
Second Line : STE 7
City : GARLAND
State : TX
Zip : 75043-4598
Country : US
Telephone Number : 972-303-9000
Fax Number : 972-303-9992
Provider Business Practice Location Address
First Line : 106 BELT LINE RD
Second Line :
City : GARLAND
State : TX
Zip : 75040-4104
Country : US
Telephone Number : 972-303-9000
Fax Number : 972-303-9992
Authorized Official
Title or Position : VP CFO
Name : SHANE LEWIS
Credential :
Telephone Number : 972-303-9000
Provider Enumeration Date : 06/01/2005
Last Update Date : 11/13/2007

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Directions to “SENIOR CARE MANGEMENT ” Practice Location

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