Healthcare Provider Details

I. General information

NPI: 1477292324
Provider Name (Legal Business Name): OXFORD CARROLLTON MEMORY CARE LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/31/2022
Last Update Date: 05/31/2022
Certification Date: 05/31/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2221 MARSH LN
CARROLLTON TX
75006-2612
US

IV. Provider business mailing address

125 N MARKET ST STE 1230
WICHITA KS
67202-1712
US

V. Phone/Fax

Practice location:
  • Phone: 316-201-3210
  • Fax:
Mailing address:
  • Phone: 316-201-3210
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: CHRIS DENNIS
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 316-371-8585