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NPI Code Detail

MEDICARE: NORTHWEST SENIOR HOUSING CORPORATION

MEDICARE: NORTHWEST SENIOR HOUSING CORPORATION
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 Facility114475TX
2314000000XSkilled Nursing Facility114476TX

General Provider Information

NPI Number : 1962400283
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORTHWEST SENIOR HOUSING CORPORATION
Provider Business Mailing Address
First Line : 8502 EDGEMERE RD
Second Line :
City : DALLAS
State : TX
Zip : 75225-3523
Country : US
Telephone Number : 214-615-7045
Fax Number : 214-615-7046
Provider Business Practice Location Address
First Line : 8502 EDGEMERE RD
Second Line :
City : DALLAS
State : TX
Zip : 75225-3523
Country : US
Telephone Number : 214-615-7045
Fax Number : 214-615-7046
Authorized Official
Title or Position : ACCOUNTING MANAGER
Name : MS. DEBORAH A TRAINOR
Credential : BBA, MES
Telephone Number : 214-615-7035
Provider Enumeration Date : 07/11/2005
Last Update Date : 11/27/2013

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Directions to “NORTHWEST SENIOR HOUSING CORPORATION ” Practice Location

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