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NPI Code Detail

MEDICARE: MSL DENISON LLC

MEDICARE: MSL DENISON 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
1314000000XSkilled Nursing Facility

General Provider Information

NPI Number : 1801485537
Entity Type Code : Organization
Provider Name (Legal Business Name) : MSL DENISON LLC
Provider Business Mailing Address
First Line : 601 E US HIGHWAY 69
Second Line :
City : DENISON
State : TX
Zip : 75021-6510
Country : US
Telephone Number : 903-465-2438
Fax Number : 903-463-3741
Provider Business Practice Location Address
First Line : 601 E US HIGHWAY 69
Second Line :
City : DENISON
State : TX
Zip : 75021-6510
Country : US
Telephone Number : 903-465-2438
Fax Number : 903-463-3741
Authorized Official
Title or Position : MANAGING MEMBER
Name : TROY ISSAC
Credential :
Telephone Number : 903-465-2438
Provider Enumeration Date : 01/17/2021
Last Update Date : 01/17/2021

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Directions to “MSL DENISON LLC ” Practice Location

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