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Organization

CORNERSTONE ASSISTED LIVING OF WYLIE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. VIMALKUMAR SHUKLA (PRESIDENT)
(214) 554-8373
Entity
Organization

Contact information

Practice address
801 S HIGHWAY 78 BLDG B, WYLIE, TX 75098-4006
(214) 554-8373
(972) 920-3399
Mailing address
2217 CIMMARON DR, PLANO, TX 75025-4795
(214) 554-8373
(972) 920-3399

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary

Other

Enumeration date
08/25/2022
Last updated
08/25/2022
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