Organization
C.C. YOUNG MEMORIAL HOME
Active
Organization
C.C. YOUNG MEMORIAL HOME
Active
Parent organization
C.C. YOUNG MEMORIAL HOME
Other names
C.C. Young Home Health and Hospice
Organization subpart
Yes
Provider details
NPI number
Legal business name
C.C. YOUNG MEMORIAL HOME
Authorized official
JENNIFER BROADWAY RN (ADMINISTRATOR)
(214) 841-2825
Entity
Organization
Contact information
Practice address
4849 W LAWTHER DR, DALLAS, TX 75214-1879
(214) 841-2825
(214) 370-2830
Mailing address
4847 W. LAWTHER DR., SUITE 100, DALLAS, TX 75214
(214) 841-2825
(214) 273-9671
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
315D00000X
Inpatient Hospice
451790
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001013912
—
TX
Enumeration date
06/27/2007
Last updated
03/25/2026
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