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NPI Code Detail

MEDICARE: IRVING ASSISTED LIVING, LTD.

MEDICARE: IRVING ASSISTED LIVING, LTD.
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
1310400000XAssisted Living Facility117724TX

General Provider Information

NPI Number : 1225105380
Entity Type Code : Organization
Provider Name (Legal Business Name) : IRVING ASSISTED LIVING, LTD.
Provider Business Mailing Address
First Line : 9595 SIX PINES RD
Second Line : SUITE 6300
City : THE WOODLANDS
State : TX
Zip : 77380-1531
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2425 TEXAS DR
Second Line :
City : IRVING
State : TX
Zip : 75062-7027
Country : US
Telephone Number : 972-659-6800
Fax Number : 972-659-6904
Authorized Official
Title or Position : COO AND PARTNER
Name : MR. LAURENCE DASPIT
Credential :
Telephone Number : 281-362-3502
Provider Enumeration Date : 11/30/2006
Last Update Date : 08/22/2020

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Directions to “IRVING ASSISTED LIVING, LTD. ” Practice Location

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