Organization
SH OPCO WAXAHACHIE LLC
Active
Other names
Covenant Place of Waxahachie
Organization subpart
No
Provider details
NPI number
Authorized official
DARLA BROWN (AR MANAGER)
(972) 308-8391
Entity
Organization
Contact information
Practice address
401 SOLON RD, WAXAHACHIE, TX 75165-1328
(972) 923-9911
Mailing address
14160 DALLAS PKWY STE 300, DALLAS, TX 75254-4383
(972) 308-8391
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
148015
TEXAS HELATH AND HUMAN SERVICES
TX
Enumeration date
07/08/2020
Last updated
11/05/2020
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