Organization
CATHEDRAL ROCK OF MOUNT PLEASANT
Active
Other names
Villa Residential Care of Mount Pleasant
Organization subpart
No
Provider details
NPI number
Authorized official
D SCOTT LUNDY (CFO)
(817) 335-4111
Entity
Organization
Contact information
Practice address
1712 N EDWARDS AVE, MT PLEASANT, TX 75455-2028
(817) 335-4111
Mailing address
306 W 7TH ST STE 415, FORT WORTH, TX 76102-4905
(817) 335-4111
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
000428
TX
310400000X
Assisted Living Facility
Primary
000748
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000428
—
TX
05
—
000748
—
TX
Enumeration date
05/16/2008
Last updated
05/20/2008
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