Organization
IRVING LONG TERM CARE LLC
Active
Other names
The Casitas at Las Brisas
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID PENNYBACKER (ADMINISTRATOR)
(469) 957-0100
Entity
Organization
Contact information
Practice address
3421 STORY RD W, IRVING, TX 75038-3571
(469) 957-0100
Mailing address
3421 STORY RD W, IRVING, TX 75038-3571
(469) 957-0100
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
05/07/2020
Last updated
05/08/2020
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