Organization
SENIOR LIVING CAPITAL GROUP
Active
Other names
Credo Senior Living LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA BAZE LPN (REGIONAL MANAGER)
(620) 786-2085
Entity
Organization
Contact information
Practice address
2120 N 13TH ST, INDEPENDENCE, KS 67301-2174
(620) 331-1400
Mailing address
8080 N CENTRAL EXPY STE 1080, DALLAS, TX 75206-1864
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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