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NPI Code Detail

MEDICARE: SENIOR CARE SERVICES

MEDICARE: SENIOR CARE SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility004939TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1HH2663OTHERTXBCBS

General Provider Information

NPI Number : 1124022470
Entity Type Code : Organization
Provider Name (Legal Business Name) : SENIOR CARE SERVICES
Provider Business Mailing Address
First Line : 1413 EAST I 30
Second Line : STE 7
City : GARLAND
State : TX
Zip : 75043-4598
Country : US
Telephone Number : 972-303-9000
Fax Number : 972-303-9992
Provider Business Practice Location Address
First Line : 205 N BONNIE BRAE ST
Second Line :
City : DENTON
State : TX
Zip : 76201-3766
Country : US
Telephone Number : 972-303-9000
Fax Number : 972-303-9992
Authorized Official
Title or Position : VP CFO
Name : SHANE LEWIS
Credential :
Telephone Number : 972-303-9000
Provider Enumeration Date : 06/02/2005
Last Update Date : 11/13/2007

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Directions to “SENIOR CARE SERVICES ” Practice Location

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