Organization
C C YOUNG MEMORIAL HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE ANNE THOMAS RN (ADMIN)
(214) 841-2825
Entity
Organization
Contact information
Practice address
4849 W LAWTHER DR, DALLAS, TX 75214-1879
(214) 827-8080
(214) 370-2830
Mailing address
4847 W LAWTHER DR, SUITE #100, DALLAS, TX 75214-1853
(214) 827-8080
(214) 841-2890
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
110990
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000464001
—
TX
Enumeration date
09/12/2005
Last updated
04/04/2022
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