Organization
SHADOW MOUNTAIN LUXURY SENIOR LIVING CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIET OTIENO (OWNER)
(214) 399-9099
Entity
Organization
Contact information
Practice address
13000 COWPER DR, FRISCO, TX 75035-2220
(214) 399-9099
Mailing address
13000 COWPER DR, FRISCO, TX 75035-2220
(214) 399-9099
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
02/06/2019
Last updated
02/06/2019
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