Organization
ARLINGTON MC MANAGEMENT, LLC
Active
Other names
Legacy Living at Arlington
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT PETRAS (COO)
(260) 797-9482
Entity
Organization
Contact information
Practice address
1501 NE GREEN OAKS BLVD, ARLINGTON, TX 76006-2315
(682) 429-1196
Mailing address
3630 ILLINOIS RD, FORT WAYNE, IN 46804-2062
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104463
ASSISTED LIVING LICENSE
TX
Enumeration date
12/20/2018
Last updated
12/20/2018
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