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General NPI Number Information
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NPI Number | 1316471279
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Entity Type | Organization
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Legal Business Name | PLEASANT RUN SENIOR LIVING, INC.
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Dates
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Enumeration Date | 04/18/2017
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Last Update Date | 06/11/2025
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Provider Practice Location Address
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Address Line | 2400 W PLEASANT RUN RD
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City | LANCASTER
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State | TX
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Zip | 75146-1179
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Country | US
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Telephone | 972-274-5000
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Fax | 972-274-1850
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Provider Business Mailing Address
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Address Line | 2400 W PLEASANT RUN RD
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City | LANCASTER
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State | TX
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Zip | 75146-1179
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Country | US
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Telephone | 972-274-5000
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Fax | 972-274-1850
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Authorized Official
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Title or Position | SECRETARY
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Name | AMBER L TUELLER
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Credential |
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Telephone | 208-207-2726
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State | TX
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