Greenbriar Prime Management

NPI 1487891297 - Assisted Living Facility - 310400000X

NPI Details
NPI 1487891297
Enumeration Date 01/15/2009
Last Updated 01/15/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name DOUG DOUG
Position PRESIDENT
Phone (817) 535-3827
Fax (817) 535-1362
Practice Location
500 S BEACH ST
FORT WORTH TX, 76105-1104, US
Phone (817) 535-3827
Fax (817) 535-1362
Business Location
PO BOX 2260
FORT WORTH TX, 76113-2260, US
Phone (817) 535-3827
Fax (817) 535-1362
Toxanomy
Taxonomy Code 310400000X
License State Texas
License Number 125703
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According to our database, Greenbriar Prime Management NPI is 1487891297, taxonomy code is 310400000X and license number is 125703, license state is located at Texas. Greenbriar Prime Management physically located at 500 S Beach St, Fort Worth TX, 76105-1104. NPI Number 1033115704 has the healthcare provider type.

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1487891297 NPI number is provided on an as is basis without warranty of any kind. 1487891297 is maintained by the National Plan & Provider Enumeration System. The contents of Greenbriar Prime Management are for informational purposes only.