Grapevine Autumn Leaves, Lp

NPI 1467617316 - Assisted Living Facility - 310400000X

NPI Details
NPI 1467617316
Enumeration Date 07/21/2008
Last Updated 07/21/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name CHAD CHAD
Position PRESIDENT
Phone (817) 329-8500
Fax
Practice Location
2501 HERITAGE AVE
GRAPEVINE TX, 76051-7037, US
Phone (817) 329-8500
Fax
Business Location
545 E JOHN CARPENTER FWY
IRVING TX, 75062-3931, US
Phone (214) 239-8400
Fax
Toxanomy
Taxonomy Code 310400000X
License State Texas
License Number 101961
Remove 1467617316 NPI Number
 

According to our database, Grapevine Autumn Leaves, Lp NPI is 1467617316, taxonomy code is 310400000X and license number is 101961, license state is located at Texas. Grapevine Autumn Leaves, Lp physically located at 2501 Heritage Ave, Grapevine TX, 76051-7037. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1467617316 NPI number is provided on an as is basis without warranty of any kind. 1467617316 is maintained by the National Plan & Provider Enumeration System. The contents of Grapevine Autumn Leaves, Lp are for informational purposes only.