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White House Manor Care Corporation

Custodial Care Facility, Adult Care Home in Cedar Hill, TX. Organization (NPI-2).

NPI number1700288867
StatusActive
Last updated in NPPESSep 19, 2014

Details

NPI
1700288867
Entity type
Organization (NPI-2)
Legal business name
White House Manor Care Corporation
Organization subpart
No
Enumeration date
Sep 19, 2014
Last updated
Sep 19, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
311ZA0620X Custodial Care Facility, Adult Care Home––Yes

Practice location

1024 Meadowbrooke Dr
Cedar Hill, TX 75104-3262

Phone 469-396-9117 · Fax 214-594-9278

Mailing address

1024 Meadowbrooke Dr
Cedar Hill, TX 75104-3262

Phone 469-396-9117 · Fax 214-594-9278

Authorized official

Teizo D Adkison
Executive Director
4693969117

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