Organization
SENIOR CARE SERVICES
Active
Other names
Vintage Assisted Living Center
Organization subpart
No
Provider details
NPI number
Authorized official
SHANE LREIS (VP/CFO)
(972) 303-9000
Entity
Organization
Contact information
Practice address
205 N BONNIE BRAE ST, DENTON, TX 76201-3766
(940) 383-2361
Mailing address
1413 EAST I 30 STE 7, GARLAND, TX 75043-4598
(972) 303-9000
(972) 303-9992
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
118868
TX
Other
Enumeration date
11/28/2007
Last updated
11/28/2007
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