Organization
ROBERT W. LEISKE LEGACY CENTERS, INC.
Active
Other names
Country Club Retirement Community
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA ECORD (VICE PRESIDENT)
(214) 328-9828
Entity
Organization
Contact information
Practice address
4773 FM 933 N, WHITNEY, TX 76692-4713
(214) 328-9828
(214) 328-3042
Mailing address
745 N BUCKNER BLVD, DALLAS, TX 75218-2786
(214) 328-9828
(214) 328-9828
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
103976
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103976
—
TX
Enumeration date
07/12/2018
Last updated
07/12/2018
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