Organization
FOSSIL CREEK MEMORY CARE LLC
Active
Other names
Autumn Leaves of Fossil Creek
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD ANDERSON (PRESIDENT)
(214) 239-8400
Entity
Organization
Contact information
Practice address
4501 SILVER SAGE DR, HALTOM CITY, TX 76137-5825
(817) 849-8000
Mailing address
545 E JOHN CARPENTER FWY, IRVING, TX 75062-3931
(214) 239-8400
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
103208
TX
Other
Enumeration date
07/21/2008
Last updated
07/21/2008
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