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Organization

CARLYLE HEALTH CARE CENTER LTD CO

Active
Other names
The Carlyle at Stonebridge Park
Organization subpart
No

Provider details

NPI number
Authorized official
ROBIN UNDERHILL (CHIEF EXECUTIVE OFFICER)
(214) 954-4114
Entity
Organization

Contact information

Practice address
170 STONEBRIDGE LN, SOUTHLAKE, TX 76092-0306
(214) 954-4114
(214) 871-3057
Mailing address
2537 GOLDEN BEAR DR, CARROLLTON, TX 75006-2377
(214) 954-4114
(214) 871-3057

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001018031
TX
Enumeration date
11/05/2009
Last updated
10/25/2010
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