Organization
GROOM SENIOR LIVING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID GROOM (PRESIDENT)
(214) 383-9077
Entity
Organization
Contact information
Practice address
100 ALLENTOWN PKWY, STE 214, ALLEN, TX 75002-4200
(214) 383-9077
Mailing address
100 ALLENTOWN PARKWAY, STE 214, ALLEN, TX 75002
(214) 383-9077
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
103683
TX
320700000X
Physical Disabilities Residential Treatment Facility
Primary
103687
TX
Other
Enumeration date
06/23/2010
Last updated
06/23/2010
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