Organization
DOUBLE CREEK ASSISTED LIVING LP
Active
Other names
Double Creek Assisted Living and Memory Care
Organization subpart
No
Provider details
NPI number
Authorized official
SAM KUMAR (MANAGING MEMBER)
(817) 386-8888
Entity
Organization
Contact information
Practice address
3200 LOUIS HENNA BLVD., ROUND ROCK, TX 78664
(817) 386-8888
Mailing address
777 MAIN ST STE 2300, FORT WORTH, TX 76102-5304
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
107007
TX
Other
Enumeration date
12/11/2017
Last updated
12/11/2017
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