# BUCKINGHAM SENIOR LIVING COMMUNITY INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356396279
- **Authorized official:** JEAN DOPLER (BILLING SPECIALIST)
- **Authorized official phone:** (903) 413-1448

## Contact information

- **Practice address:** 8530 WOODWAY DR, HOUSTON, TX 77063-2423
- **Practice address phone:** (713) 979-3777
- **Practice address fax:** (713) 979-3778
- **Mailing address:** 8580 WOODWAY DR, HOUSTON, TX 77063-2423
- **Mailing address phone:** (713) 979-3100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 116910 | TX | Yes |

## Other

- **Enumeration date:** 05/23/2006
- **Last updated:** 02/17/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 102407 | TDADS FACILITY ID | TX |