Shadow Mountain Luxury Senior Living Corporation
Custodial Care Facility, Adult Care Home in Frisco, TX. Organization (NPI-2).
NPI number1245795970
StatusActive
Last updated in NPPESFeb 6, 2019
Details
- NPI
- 1245795970
- Entity type
- Organization (NPI-2)
- Legal business name
- Shadow Mountain Luxury Senior Living Corporation
- Organization subpart
- No
- Enumeration date
- Feb 6, 2019
- Last updated
- Feb 6, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 311ZA0620X | Custodial Care Facility, Adult Care Home | – | – | Yes |
Practice location
13000 Cowper DrFrisco, TX 75035-2220
Phone 214-399-9099
Mailing address
13000 Cowper DrFrisco, TX 75035-2220
Phone 214-399-9099
Authorized official
Juliet Otieno
Owner
2143999099
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