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Organization

SENIOR LIVING PROPERTIES LLC

Active
Other names
Graham Living Center
Organization subpart
No

Provider details

NPI number
Authorized official
LARRY MARTIN (CFO)
(817) 410-7300
Entity
Organization

Contact information

Practice address
1201 CHERRY ST, GRAHAM, TX 76450-3829
(940) 549-7513
(940) 549-3425
Mailing address
PO BOX 1389, GRAPEVINE, TX 76099-1389
(817) 410-7300
(817) 810-7411

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
123571
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000149900
TX
01
000634
FACILITY ID NO.
TX
Enumeration date
10/11/2005
Last updated
07/07/2008
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