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Organization
DSL TENANT II LLC
Active
Organization
DSL TENANT II LLC
Active
Other names
Discovery Village at Southlake
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE MORTON (AUTHORIZED AGENT)
(239) 301-5311
Entity
Organization
Contact information
Practice address
201 WATERMERE DR, SOUTHLAKE, TX 76092-8137
(817) 482-1340
Mailing address
27599 RIVERVIEW CENTER BLVD STE 201, BONITA SPRINGS, FL 34134-4327
(239) 908-2921
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
03/21/2019
Last updated
08/09/2019
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