Healthcare Provider Details
I. General information
NPI: 1275675423
Provider Name (Legal Business Name): ESC-NGH, L.P.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/13/2007
Last Update Date: 08/21/2020
Certification Date: 08/21/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5310 DUVAL RD
AUSTIN TX
78727-6658
US
IV. Provider business mailing address
111 WESTWOOD PL STE 400
BRENTWOOD TN
37027-5057
US
V. Phone/Fax
- Phone: 512-418-8228
- Fax: 512-418-9211
- Phone: 615-221-2250
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 310400000X |
| Taxonomy | Assisted Living Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JOANNE
K
LESKOWICZ
Title or Position: SENIOR VICE PRESIDENT
Credential:
Phone: 414-918-5000