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Organization

ESTEEMED SENIOR LIVING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BENNIE GRIFFIN LVN (C.E.O.)
(254) 229-9275
Entity
Organization

Contact information

Practice address
2101 DIANE DR, PLANO, TX 75074-3545
(469) 970-0277
Mailing address
3027 LILY LN, HEATH, TX 75126-0617
(254) 229-9275

Taxonomy

Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0
N/A
Enumeration date
03/01/2022
Last updated
11/21/2022
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