Healthcare Provider Details

I. General information

NPI: 1265663793
Provider Name (Legal Business Name): RMR HEALTHCARE RICHARDSON, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2009
Last Update Date: 01/20/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1350 E LOOKOUT DR
RICHARDSON TX
75082-4106
US

IV. Provider business mailing address

555 ROUND ROCK WEST DR SUITE 390
ROUND ROCK TX
78681-5052
US

V. Phone/Fax

Practice location:
  • Phone: 972-479-1111
  • Fax: 512-733-5152
Mailing address:
  • Phone: 512-773-5151
  • Fax: 512-773-5152

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: MS. JUDIE E MEREDITH
Title or Position: FINANCIAL MANAGER
Credential:
Phone: 512-773-5151