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Organization
THI OF TEXAS AT PLANO LLC
Active
Organization
THI OF TEXAS AT PLANO LLC
Active
Other names
The Park in Plano
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN WILSON (PRESIDENT)
(972) 422-2214
Entity
Organization
Contact information
Practice address
3208 THUNDERBIRD LN, PLANO, TX 75075-2321
(972) 422-2214
Mailing address
930 RIDGEBROOK RD, SPARKS, MD 21152-9390
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001012236
CBA RESPITE ID NUMBER
TX
Enumeration date
06/05/2009
Last updated
06/05/2009
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