Organization
ESC II, LP
Active
Other names
Emeritus at Vickery Towers
Organization subpart
No
Provider details
NPI number
Authorized official
NOELLE DIAZ BICKEL (LICENSING SPECIALIST)
(206) 298-2909
Entity
Organization
Contact information
Practice address
5619 BELMONT AVE, DALLAS, TX 75206-6701
(214) 826-1113
(214) 826-1943
Mailing address
3131 ELLIOTT AVE STE 500, SEATTLE, WA 98121-1032
(206) 298-2909
(206) 301-4500
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
000461
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001004656
—
TX
Enumeration date
04/13/2007
Last updated
02/24/2010
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