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NPI Code Detail

MEDICARE: IRVING OPERATIONS, LLC

MEDICARE: IRVING OPERATIONS, LLC
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 Facility

General Provider Information

NPI Number : 1760764104
Entity Type Code : Organization
Provider Name (Legal Business Name) : IRVING OPERATIONS, LLC
Provider Business Mailing Address
First Line : 9510 ORMSBY STATION RD
Second Line : SUITE 101
City : LOUISVILLE
State : KY
Zip : 40223-4081
Country : US
Telephone Number : 502-753-6004
Fax Number : 502-753-6104
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 : VICE PRESIDENT
Name : MS. ROBIN L BARBER
Credential : JD
Telephone Number : 502-753-6004
Provider Enumeration Date : 09/12/2011
Last Update Date : 09/12/2011

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Directions to “IRVING OPERATIONS, LLC ” Practice Location

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