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Organization
CSL VAN DORN, LLC
Active
Organization
CSL VAN DORN, LLC
Active
Other names
The Windcrest on Van Dorn
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GLORIA HOLLAND 9727705600 (VP-FINANCE)
(972) 770-5600
Entity
Organization
Contact information
Practice address
7208 VAN DORN STREET, LINCOLN, NE 68506
(402) 486-0011
(402) 484-9170
Mailing address
14160 DALLAS PARKWAY, SUITE 300, DALLAS, TX 75254
(972) 770-5100
(972) 770-5666
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
ALF157
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100258598-00
—
NE
Enumeration date
07/06/2010
Last updated
07/06/2010
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