Organization
FOREST LANE SENIOR LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUNDEEP JESTE (PRIMARY)
(512) 633-2314
Entity
Organization
Contact information
Practice address
3344 FOREST LN, FARMERS BRANCH, TX 75234-7793
(972) 433-0569
Mailing address
3344 FOREST LN, FARMERS BRANCH, TX 75234-7793
Taxonomy
Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
—
—
Other
Enumeration date
08/16/2022
Last updated
08/16/2022
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