Organization
MONARCH HOLDING, INC.
Active
Parent organization
MONARCH HOLDING, INC.
Other names
Live Oak
Organization subpart
Yes
Provider details
NPI number
Legal business name
MONARCH HOLDING, INC.
Authorized official
ANNA TODD (OPERATIONS BUSINESS MANAGER)
(800) 299-5161
Entity
Organization
Contact information
Practice address
812 LIVE OAK DR, DESOTO, TX 75115-3402
(800) 299-5161
(817) 447-3033
Mailing address
4800 OVERTON PLZ STE 440, FORT WORTH, TX 76109-4435
(800) 299-5161
(817) 447-3033
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000725201
CONTRACT #
TX
01
—
148005
ICF LICENSE
TX
Enumeration date
05/31/2007
Last updated
01/20/2021
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