Healthcare Provider Details

I. General information

NPI: 1023014503
Provider Name (Legal Business Name): ASHFORD HALL INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/21/2005
Last Update Date: 07/16/2020
Certification Date: 07/16/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2021 SHOAF DR
IRVING TX
75061-2553
US

IV. Provider business mailing address

2021 SHOAF DR
IRVING TX
75061-2553
US

V. Phone/Fax

Practice location:
  • Phone: 972-579-1919
  • Fax: 972-721-1361
Mailing address:
  • Phone: 817-268-8103
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: NATHAN LEE
Title or Position: VICE PRESIDENT
Credential:
Phone: 817-268-8103