Organization
TWENTY TWO PACK MANAGEMENT CORP.
Active
Other names
EdenBrook of Plano
Organization subpart
No
Provider details
NPI number
Authorized official
CHUCK OLSON (EXECUTIVE DIRECTOR)
(972) 473-7400
Entity
Organization
Contact information
Practice address
3000 MIDWAY RD, PLANO, TX 75093-6121
(972) 473-7400
Mailing address
3000 MIDWAY RD, PLANO, TX 75093-6121
(972) 473-7400
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
119488
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11948
ASSISTED LIVING FACILITY
TX
Enumeration date
05/22/2007
Last updated
08/22/2020
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