Organization
MCP STUART LODGE OPCO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN BOLLICH (MANAGER)
(214) 443-8329
Entity
Organization
Contact information
Practice address
1301 SE PALM BEACH RD, STUART, FL 34994-4012
(772) 837-5889
Mailing address
12377 MERIT DR STE 500, DALLAS, TX 75251-2343
(214) 443-8300
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
09/28/2023
Last updated
09/28/2023
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