Organization · NPI-2
Collin Creek Assisted Living Center, INC
Assisted Living Facility · Plano, TX
NPI number1619022704
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1619022704
- Entity type
- Organization (NPI-2)
- Legal business name
- Collin Creek Assisted Living Center, INC
- Organization subpart
- No
- Enumeration date
- Jan 25, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | 030165 | TX | Yes |
Other names
- Dayspring Assisted Living Center (Doing Business As)
Practice location
6400 Cheyenne TrlPlano, TX 75023-3774
Phone 972-769-1109 · Fax 972-769-1113
Mailing address
6400 Cheyenne TrlPlano, TX 75023-3774
Phone 972-769-1109 · Fax 972-769-1113
Authorized official
Tiffany Duncan
Facility Director
9727691109
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