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General NPI Number Information
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NPI Number | 1346304094
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Entity Type | Organization
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Legal Business Name | SENIOR LIVING PROPERTIES LLC
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Dates
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Enumeration Date | 12/20/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2713 SOUTH COMMERCIAL AVE
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City | COLEMAN
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State | TX
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Zip | 76834
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Country | US
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Telephone | 325-623-4105
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Fax | 325-625-3114
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Provider Business Mailing Address
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Address Line | 1111 S MAIN SUITE 204
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City | GRAPEVINE
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State | TX
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Zip | 76051-5577
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Country | US
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Telephone | 817-865-5069
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Fax | 817-329-2124
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Authorized Official
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Title or Position | CFO
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Name | WILLIAM H KEYS
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Credential | CMA
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Telephone | 972-989-5024
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 116127
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License Number State | TX
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