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Organization

DENTON ASSISTED LIVING, L.P.

Active
Other names
Carriage House Assisted Living
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTY JORDAN (REPRESENTATIVE)
(817) 861-8442
Entity
Organization

Contact information

Practice address
1357 BERNARD ST, DENTON, TX 76201-7129
(817) 861-8442
(817) 549-9881
Mailing address
1615 W ABRAM ST, SUITE 201, ARLINGTON, TX 76013-1788
(817) 861-8442
(817) 274-8679

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
001001159
TX
310400000X
Assisted Living Facility
117726
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001001159
PROVIDER NUMBER WITH TMHP
TX
01
030109
FACILITY ID
TX
01
117726
LICENSE NUMBER
TX
Enumeration date
03/27/2007
Last updated
01/18/2021
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