MEDICARE: FM SENIOR LIVING OPERATIONS LP

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
1	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1205210713
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FM SENIOR LIVING OPERATIONS LP

Provider Business Mailing Address
First Line	:	PO BOX 600323
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75360-0323
Country	:	US
Telephone Number	:	214-862-1946
Fax Number	:	214-279-0594

Provider Business Practice Location Address
First Line	:	3281 LONG PRAIRIE RD
Second Line	:
City	:	FLOWER MOUND
State	:	TX
Zip	:	75022-2750
Country	:	US
Telephone Number	:	214-251-8000
Fax Number	:

Authorized Official
Title or Position	:	PRINCIPAL OFFICER
Name	:	JOE GEER
Credential	:
Telephone Number	:	214-893-4202

Provider Enumeration Date	:	07/14/2015
Last Update Date	:	07/14/2015

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