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NPI Code Detail

MEDICARE: CSH GRAND PRAIRIE LP

MEDICARE: CSH GRAND PRAIRIE LP
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
1310400000XAssisted Living FacilityTX

General Provider Information

NPI Number : 1205063260
Entity Type Code : Organization
Provider Name (Legal Business Name) : CSH GRAND PRAIRIE LP
Provider Business Mailing Address
First Line : 355 W WESTCHESTER PKWY
Second Line :
City : GRAND PRAIRIE
State : TX
Zip : 75052-5284
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 355 W WESTCHESTER PKWY
Second Line :
City : GRAND PRAIRIE
State : TX
Zip : 75052-5284
Country : US
Telephone Number : 972-263-3663
Fax Number :
Authorized Official
Title or Position : PRESIDENT/CEO
Name : WILLIAM BRENT BINIONS
Credential :
Telephone Number : 905-501-4702
Provider Enumeration Date : 06/17/2009
Last Update Date : 06/17/2009

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Directions to “CSH GRAND PRAIRIE LP ” Practice Location

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