# MANOR ASSISTED CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Manor Care EMS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609011303
- **Authorized official:** KEITH A POWELL (MANAGING MEMBER)
- **Authorized official phone:** (972) 224-4015

## Contact information

- **Practice address:** 104 CHOWNING DR, SUITE 104, DESOTO, TX 75115-4900
- **Practice address phone:** (972) 224-4015
- **Practice address fax:** (972) 224-4339
- **Mailing address:** PO BOX 425, CEDAR HILL, TX 75106-0425
- **Mailing address phone:** (972) 224-4015
- **Mailing address fax:** (972) 224-4339

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 1000229 | TX | Yes |

## Other

- **Enumeration date:** 12/09/2008
- **Last updated:** 11/30/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 201118101 | — | TX |