Organization
DSL TENANT II LLC
Active
Other names
Discovery Village at Southlake
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE MORTON (AUTHORIZED AGENT)
(239) 301-5311
Entity
Organization
Contact information
Practice address
201 WATERMERE DR, SOUTHLAKE, TX 76092-8137
(817) 482-1340
Mailing address
27599 RIVERVIEW CENTER BLVD STE 201, BONITA SPRINGS, FL 34134-4327
(239) 908-2921
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
03/21/2019
Last updated
08/09/2019
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