# THI OF TEXAS AT PLANO LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Park in Plano
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639305550
- **Authorized official:** JOHN WILSON (PRESIDENT)
- **Authorized official phone:** (972) 422-2214

## Contact information

- **Practice address:** 3208 THUNDERBIRD LN, PLANO, TX 75075-2321
- **Practice address phone:** (972) 422-2214
- **Mailing address:** 930 RIDGEBROOK RD, SPARKS, MD 21152-9390

## Taxonomy

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

## Other

- **Enumeration date:** 06/05/2009
- **Last updated:** 06/05/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 001012236 | CBA RESPITE ID NUMBER | TX |