Organization
CSH GRAHAM LP
Active
Other names
Merrill Gardens at Graham
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JON A. DELUCA (CFO)
(813) 287-3992
Entity
Organization
Contact information
Practice address
5102 W LAUREL ST STE 700, TAMPA, FL 33607-3854
(813) 287-3992
Mailing address
1015 CLIFF DR, GRAHAM, TX 76450-4116
(840) 549-8181
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
PENDING
TX
Other
Enumeration date
04/24/2007
Last updated
08/22/2020
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