Organization
THI OF TEXAS AT PLANO LLC
Active
Other names
The Park in Plano
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN WILSON (PRESIDENT)
(972) 422-2214
Entity
Organization
Contact information
Practice address
3208 THUNDERBIRD LN, PLANO, TX 75075-2321
(972) 422-2214
Mailing address
930 RIDGEBROOK RD, SPARKS, MD 21152-9390
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001012236
CBA RESPITE ID NUMBER
TX
Enumeration date
06/05/2009
Last updated
06/05/2009
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