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Organization

CSL VAN DORN, LLC

Active
Other names
The Windcrest on Van Dorn
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. GLORIA HOLLAND 9727705600 (VP-FINANCE)
(972) 770-5600
Entity
Organization

Contact information

Practice address
7208 VAN DORN STREET, LINCOLN, NE 68506
(402) 486-0011
(402) 484-9170
Mailing address
14160 DALLAS PARKWAY, SUITE 300, DALLAS, TX 75254
(972) 770-5100
(972) 770-5666

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
ALF157
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100258598-00
NE
Enumeration date
07/06/2010
Last updated
07/06/2010
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