Healthcare Provider Details

I. General information

NPI: 1386999480
Provider Name (Legal Business Name): ARLINGTON TX MANAGEMENT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2012
Last Update Date: 07/19/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

405 DUNCAN PERRY RD
ARLINGTON TX
76011-5412
US

IV. Provider business mailing address

7150 PARSONS BLVD SUITE 1001
FLUSHING NY
11365-4131
US

V. Phone/Fax

Practice location:
  • Phone: 817-649-3366
  • Fax:
Mailing address:
  • Phone: 516-596-5222
  • Fax: 877-311-5460

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number130704
License Number StateTX

VIII. Authorized Official

Name: MRS. MICHAL GOLDMAN
Title or Position: MANAGER
Credential:
Phone: 516-596-5222